Ophthalmology Case Reports

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Commentary - Ophthalmology Case Reports (2024) Volume 8, Issue 5

Types of Functional Eye Dressings: Choosing the Right Protection for Your Eye

Clara Müller*

Department of Eye Dressings, University of Zurich, Switzerland

*Corresponding Author:
Clara Müller
Department of Eye Dressings
University of Zurich, Switzerland
E-mail: cmueller@uzh.ch

Received: 03-Oct-2024, Manuscript No. OER-24-149609; Editor assigned: 05-Oct-2024, Pre QC No. OER-24-149609 (PQ); Reviewed: 19-Oct-2024, QC No. OER-24-149609; Revised: 25-Oct-2024, Manuscript No. OER-24-149609 (R); Published: 30-Oct-2024, DOI: 10.35841/oer-8.5.232

Citation: Müller C. Types of Functional Eye Dressings: Choosing the Right Protection for Your Eye. Ophthalmol Case Rep. 2024; 8(5):232

Visit for more related articles at Ophthalmology Case Reports

Introduction

Eye surgeries, ranging from cataract removal to retinal repairs, require careful postoperative management to ensure proper healing and to prevent complications. One of the key elements in this care is the use of functional eye dressings. These dressings not only protect the eye from environmental contaminants but also support healing, provide comfort, and in some cases, deliver therapeutic benefits. With the wide variety of functional eye dressings available, it’s essential to choose the right type based on the specific needs of the patient and the type of surgery performed [1].

One of the simplest forms of eye dressings is the basic eye patch, which is commonly used after minor surgeries or injuries. These patches typically consist of a soft, padded material that covers the eye, shielding it from dust, dirt, and light. Basic eye patches are lightweight, easy to apply, and provide basic protection while keeping the eye in a stable position. They are often recommended for short-term use and are effective in preventing patients from rubbing or touching their eyes, which could disturb the healing process [2].

Pressure dressings are designed to apply a gentle but firm pressure to the eye, making them ideal for reducing postoperative bleeding and swelling. These dressings are typically used after more invasive procedures such as glaucoma surgery, where controlling intraocular pressure is critical for successful healing. The controlled pressure helps stabilize the eye and reduces the risk of haemorrhage by compressing the tissue around the surgical site. While effective, pressure dressings must be carefully monitored to ensure that they don’t apply too much pressure, which could lead to complications such as ischemia [3].

Transparent eye shields are a popular choice for patients recovering from cataract surgery and other routine eye procedures. These dressings consist of a clear, rigid plastic shield that protects the eye while allowing visual inspection without the need to remove the dressing. The transparency is particularly useful in early postoperative periods when clinicians need to monitor the eye frequently for signs of infection or complications [4].

Bandage contact lenses are a more advanced type of functional eye dressing that are commonly used after corneal surgeries or injuries. These lenses cover the cornea, acting as a protective layer that promotes epithelial healing and provides relief from pain caused by corneal surface irregularities. Bandage lenses are particularly effective in managing conditions such as corneal ulcers, abrasions, and after procedures like LASIK or photorefractive keratectomy (PRK). Unlike traditional dressings, these lenses stay in direct contact with the cornea, offering a stable healing environment while reducing friction between the eyelid and the cornea [5].

Moisture-retentive eye dressings are designed to maintain a moist environment around the eye, which is critical for promoting tissue healing and reducing discomfort. These dressings are often used in patients with dry eye conditions or those recovering from surgeries that affect the tear film, such as corneal transplants. By minimizing evaporation of tears, moisture-retentive dressings keep the eye lubricated, reducing irritation and facilitating faster epithelial regeneration. Some versions include hydrogels or other moisture-enhancing materials that further support hydration during the healing process [6].

For patients at high risk of infection, such as those undergoing procedures like vitrectomies or surgeries involving intraocular implants, antibiotic-infused dressings provide an additional layer of protection. These dressings are treated with antibiotics or antiseptics that slowly release medication to the surgical site, reducing the risk of postoperative infections such as endophthalmitis. While not used routinely, they are particularly beneficial in cases where the immune system is compromised or where there’s a high risk of microbial contamination [7].

Silicone-based eye dressings offer a hypoallergenic alternative for patients with sensitive skin or allergies to adhesive materials. These dressings are known for their gentle adhesion, making them easy to apply and remove without causing irritation or damaging the delicate skin around the eye. Silicone dressings are breathable, allowing oxygen to reach the surgical site while still providing a protective barrier. They are often used in long-term postoperative care, especially in patients who need to wear dressings for extended periods or who have undergone multiple surgeries [8].

In some cases, off-the-shelf eye dressings may not meet the specific needs of the patient, requiring the use of customizable dressings. These dressings can be tailored in terms of size, shape, and material to provide optimal coverage and protection. Customizable dressings are particularly useful in patients with unique anatomical features, extensive facial trauma, or complex surgical procedures that require specialized care. These dressings allow for better adaptation to the individual’s needs, providing enhanced comfort and promoting more effective healing [9].

Eye dressings for pediatric and geriatric patients require special considerations. Children may be more likely to remove or disturb their dressings, necessitating the use of secure but comfortable options such as padded eye patches or transparent shields. For geriatric patients, who may have thinner, more fragile skin, hypoallergenic and soft-adhering dressings are essential to prevent skin damage. Specially designed pediatric and geriatric eye dressings often feature playful designs or softer materials to enhance compliance and reduce discomfort during the healing process [10].

Conclusion

Choosing the right functional eye dressing is a critical component of postoperative eye care. From basic eye patches to more advanced options like bandage contact lenses and antibiotic-infused dressings, the type of dressing used should be tailored to the specific needs of the patient and the procedure performed. Proper selection not only protects the eye from external contaminants but also promotes faster healing, enhances patient comfort, and reduces the risk of complications. As surgical techniques continue to evolve, so too will the materials and designs of functional eye dressings, ensuring that patients receive the best possible care for their recovery.

References

  1. Ruiz-Lozano RE, Gomez-Elizondo DE, Colorado-Zavala MF. Update on indications, complications, and outcomes of scleral contact lenses. Med Hypothesis Discov Innov Ophthalmol. 2021;10(4):165.
  2. Indexed at, Google Scholar, Cross Ref

  3. Wang T, Ran R, Ma Y. Polymeric hydrogel as a vitreous substitute: current research, challenges, and future directions. Biomed Mater. 2021;16(4):042012.
  4. Indexed at, Google Scholar, Cross Ref

  5. Deng SX, Kruse F, Gomes JA, et al. Global consensus on the management of limbal stem cell deficiency. Cornea. 2020;39(10):1291-302. 
  6. Indexed at, Google Scholar, Cross Ref

  7. Zemba M, Radu M, Istrate S, et al. Intrastromal injections in the management of infectious keratitis. Pharmaceutics. 2023;15(4):1091. 
  8. Indexed at, Google Scholar, Cross Ref

  9. Lekoloane NJ. A bioresponsive injectable ocugel for post-surgical cataract treatment
  10. Google Scholar

  11. Hameed H, Faheem S, Paiva-Santos AC. A comprehensive review of hydrogel-based drug delivery systems: classification, properties, recent trends, and applications. Pharm Sci Tech. 2024;25(4):64. 
  12. Indexed at, Google Scholar, Cross Ref

  13. Ho TT, Tran HA, Doan VK, et al. Natural Polymer-Based Materials for Wound Healing Applications. Advanced Nano Biomed Research. 2024:2300131. 
  14. Indexed at, Google Scholar, Cross Ref

  15. Lee ES, Lee SY, Jeong SY, et al. Cataract surgery and lens implantation. J Cataract Refract Surg. 2005;31:2379-85.
  16. Google Scholar

  17. Ding Y, Zhu Z, Zhang X. Novel Functional Dressing Materials for Intraoral Wound Care. Adv Healthc Mater. 2024:2400912. 
  18. Google Scholar

  19. Yuan W, Zhao F, Liu X. Development of corneal contact lens materials and current clinical application of contact lenses: A review. Biointerphase. 2023;18(5). 
  20. Google Scholar

Get the App