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Pressure Eye Patch

A pressure patch is used to treat traumatic corneal abrasions by placing two eye pads gently against the eye to prevent movement of the eyelid and allow for quicker healing. It provides the best results when applied early before any contents leak out or change position from the eye. While eye patching was traditionally used, its effectiveness is now controversial. A pressure patch can help with large abrasions but should not be used if an infection is present, as it could make the situation worse. The proper application of a pressure patch involves securely taping a padded eye shield over the closed eye to ensure the eyelid remains shut.

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Anya Universade
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229 views

Pressure Eye Patch

A pressure patch is used to treat traumatic corneal abrasions by placing two eye pads gently against the eye to prevent movement of the eyelid and allow for quicker healing. It provides the best results when applied early before any contents leak out or change position from the eye. While eye patching was traditionally used, its effectiveness is now controversial. A pressure patch can help with large abrasions but should not be used if an infection is present, as it could make the situation worse. The proper application of a pressure patch involves securely taping a padded eye shield over the closed eye to ensure the eyelid remains shut.

Uploaded by

Anya Universade
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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PRESSURE EYE PATCH

Introduction
• A pressure patch placing two eyepads gently against the eye.
• Eye shields  to protect the eye from further injury when the integrity
of the globe is compromised or potentially compromised.
• The best results are obtained when early repair of globe disruption
occurs, before any contents leak out or change position.
• In contrast, eye patches are intended to prevent movement of the
eyelid over an injured but intact cornea. 
• While there have been no substantial changes in the indications for eye
shields and their method of application, eye patching has become
increasingly controversial

Source : Chapter 161. Eye Patching and Eye Shields. In: Reichman EF. eds. Emergency Medicine Procedures, 2e. McGraw Hill; 2013. Accessed March 27,
2022. https://accessemergencymedicine.mhmedical.com/content.aspx?bookid=683&sectionid=45343808
Introduction

Source : Chapter 161. Eye Patching and Eye Shields. In: Reichman EF. eds. Emergency Medicine Procedures, 2e. McGraw Hill; 2013. Accessed March 27,
2022. https://accessemergencymedicine.mhmedical.com/content.aspx?bookid=683&sectionid=45343808
Indications
• Traumatic corneal abrasions (esp non contact lens-related) : Antibiotic
ointment, with or without a topical mydriatic, and a pressure patch has
been the traditional treatment for this case. it presumably reduces friction
between the healing corneal epithelium and the eyelid, thus allowing for
quicker healing.

Contraindication
• A pressure patch could be devastating if an infection is present; thus, contact
lens-related corneal abrasions are not treated with a pressure patch

Source :
1. Chapter 161. Eye Patching and Eye Shields. In: Reichman EF. eds. Emergency Medicine Procedures, 2e. McGraw Hill; 2013. Accessed March 27,
2022. https://accessemergencymedicine.mhmedical.com/content.aspx?bookid=683&sectionid=45343808
2. Kronish JW, Lingua R. Pressure Patch Treatment for Congenital Upper Eyelid Eversion. Arch Ophthalmol. 1991;109(6):767–768.
doi:10.1001/archopht.1991.01080060021009
The usage of pressure patch for corneal
abrasion
• Corneal abrasion is a scratch to the outer surface of the most transparent part of eye
ball: the cornea. In general, most corneal abrasions heal within 3 days
• Management of large corneal abrasions (that is, more than 10 mm2). In these
circumstances, some practitioners may advocate the use of a patch with the rationale
that this may promote epithelial proliferation and migration.
• Kaiser 1995 recommends that people with large abrasions as well as deeper stromal
and partial‐thickness defects should be managed with the currently accepted standard
of care of an antibiotic ointment, mydriatic drops and a pressure patch.
• treating traumatic corneal abrasions by pressure patching, a bandage contact lens or
ointment alone was equal in terms of reducing the abrasion area and reducing pain.

Source :
1. Lim CH, Turner A, Lim BX. Patching for corneal abrasion. Cochrane Database Syst Rev. 2016;7(7):CD004764. Published 2016 Jul 26. doi:10.1002/14651858.CD004764.pub3
2. Menghini M, Knecht P, B, Kaufmann C, Kovacs R, Watson S, L, Landau K, Bosch M, M: Treatment of Traumatic Corneal Abrasions: A Three-Arm, Prospective, Randomized Study.
Ophthalmic Res 2013;50:13-18. doi: 10.1159/000347125
Equipment
• 1 inch tape
• double eye pad or bulk gauze
• scissors
• adhesive tape

Source : Chapter 161. Eye Patching and Eye Shields. In: Reichman EF. eds. Emergency Medicine Procedures, 2e. McGraw Hill; 2013. Accessed March 27,
2022. https://accessemergencymedicine.mhmedical.com/content.aspx?bookid=683&sectionid=45343808
Steps
• Apply a piece of adhesive tape, about 15 centimetres long, to the eye pad
• The patient is instructed to keep both eyes closed, while the pressure patch is taped
firmly over the affected eye.

Source :
1. https://www.aao.org/image/pressure-patch
2. Stevens S. How to apply an eye pad, shield, and bandage. Community Eye Health. 2010;23(74):56.
• The lower cheek should be pulled up firmly as tape is applied to keep the eye
closed.
• Pressure patching with either double eye pad or bulk gauze (enough to exert
pressure) on closed eye held with either bandage or plaster. Tape or plaster placed
onto the skin of the eyelids to prevent eye opening;
• The patch should remain on the eye for at least 24 hours, and follow-up by an
ophthalmologist is indicated if the defect does not heal in 24 hours.
• A loose patch can do more harm than no patch, so care must be taken to ensure
that the lids are securely closed under the patch.
• Extra protection can be given by taping a shield over the pad in the same way. The
shield shown is produced commercially and is called a Cartella shield.

Source :
1. https://www.aao.org/image/pressure-patch
2. Stevens S. How to apply an eye pad, shield, and bandage. Community Eye Health.
2010;23(74):56.
3. Kronish JW, Lingua R. Pressure Patch Treatment for Congenital Upper Eyelid
Eversion. Arch Ophthalmol. 1991;109(6):767–768.
doi:10.1001/archopht.1991.01080060021009

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