Purpose: To evaluate the barriers in acceptance of cataract surgery during COVID-19(Coronavirus disease-2019) era. Material and methods: A
cross sectional descriptive study was conducted in months of August and September 2020. Number of patients who refused the surgery were noted
and compared with retrospective data of patients who refused cataract surgery in August and September 2019. The patients who refused cataract
surgery were administered semi structured interview noting sociodemographic data, characteristics of cataract, reasons for refusing cataract
surgery related to COVID-19 and otherwise and reasons for refusal to get tested for COVID-19. Results:Atotal of 100 patients (57 females and 43
males) who refused cataract surgery, 12 patients had visual acuity (VA) less than 6/60 and 50 had VAbetween 6/18-6/60. Amongst the barriers not
relating to COVID-19 were daily activity not suffering(45) followed by fear of the surgery(25) and relating to hospital services were unwillingness
for COVID-19 testing( 85), getting COVID-19infection from the hospital(24), lot of time is wasted (25)and they do not trust the level of
precautions taken by the hospital at this point of time.(20) . Barriers related to COVID-19 were: refusal to get COVID-19 tested prior to
surgery(85) , procedure is not an emergency, they want to defer it(51), their family members may get COVID-19 infection from them, if they get
surgery at this time(15) , increase in nancial burden and owing to that they cannot get cataract surgery in this period(65) and lack of transport (25).
Conclusions:COVID-19 has negatively impacted on cataract surgery uptake
In this era of topical cataract surgeries, where patients come and get operated within 15-20 minutes and walk with 20/20 vision from the hospital, there is a nightmare for ophthalmologists which is called endophthalmitis and Toxic Anterior Segment Syndrome(TASS). Despite an uneventful surgery patient may land in ophthalmologist's outpatient department with decreased vision the next day because of TASS. Mild cases respond to treatment but severe cases may end up losing vision and may require further intraocular surgeries. Thus, steps should be taken to prevent this monstrous disease from happening. This article reviews how to diagnose, treat and prevent TASS.
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