Table 1.
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.