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. 2019 Nov 7;9(11):e030882. doi: 10.1136/bmjopen-2019-030882

Table 1.

Summary of scan acquisition in all cases, success rates for completing the whole protocol and problems encountered

Case number Diagnosis Patient’s age Patient’s sex Position of patient Conscious/unconscious Scans acquired (n) Whole protocol achieved? Problems encountered
1 Post-operative oesophagectomy 55 Male Sat up Alert 8 Yes No problems of note.
2 Sepsis 64 Female Supine in bed Unconscious and intubated 3 No Poor ocular surface, drifting gaze, difficult positioning due to airway.
3 Traumatic brain injury 33 Female Semi-recumbent in bed Unconscious and intubated 4 No Unable to dilate both eyes (to avoid interfering with neurological observations).
4 Toxic epidermal necrolysis (TEN) 39 Female Semi-recumbent in bed Semi-sedated and delirious 0 No Ocular surface involvement of TEN with corneal erosions and delirious patient.
5 Post-operative oesophagectomy 75 Male Semi-recumbent in bed Alert 8 Yes No problems of note.
6 Post-operative oesophagectomy 84 Female Sat up in chair Alert 3 No Patient was scanned upright in a chair with minimal head support.
7 Post-operative oesophagectomy 64 Female Semi-recumbent in bed Alert 8 Yes No problems of note.
8 Traumatic brain injury 36 Male Semi-recumbent in bed Unconscious and intubated 3 No Patient needed eyelids held open, difficulty achieving optimum alignment.
9 Post-operative oesophagectomy 66 Male Semi-recumbent in bed Alert 4 No* Scans were difficult to obtain even with dilation due to poor fixation and the patient’s lack of sleep.
10 Post-operative oesophagectomy 56 Male Sat up in chair Alert 6 No* All scans achieved without dilation.
11 Neutropaenic sepsis 53 Male Supine in bed Unconscious 8 Yes Patient scanned with lids held open. 3 operators were required.
12 Post-operative oesophagectomy 56 Male Semi-recumbent in bed Alert 3 No Patient was amblyopic in the right eye with poor fixation.
13 Post-operative oesophagectomy 58 Male Sat up in chair Alert 5 No Patient was in pain during scans with poor fixation.

*Postoesophagectomy scans were carried out at 24 hours postoperatively in the critical care unit. An asterisk marks where all scans were obtainable at 7 days postoperatively on a normal ward. All patients but one (case 4) had at least one successful scan.