Impact of Covid-19 pandemic on Ophthalmic Emergency Department in an Italian tertiary eye centre

Franzolin, Elia; Casati, Stefano; Albertini, Ottavia; Antonelli, Giulio; Marchetti, Pierpaolo; Bonora, Antonio; Marchini, Giorgio

doi:10.1177/1120672121998223

Cited by 12 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…61,[65][66][67] In Italy, there was a 59% reduction in patient visits to the ophthalmic emergency department, and in Spain, there was a 65% decrease during the lockdown. 68 Patients who did present to the emergency departments unfortunately had more delayed presentations, more trauma, more severe injuries like ruptured globes, lacerations, and orbital fractures, more at-home injuries, and were less likely to have health insurance. 61,65,68 The greater proportion of severe injuries may have been associated with increased intimate partner violence and home improvement projects as people quarantined.…”

Section: Ocular Emergencies and Effects Of Delayed Carementioning

confidence: 99%

“…68 Patients who did present to the emergency departments unfortunately had more delayed presentations, more trauma, more severe injuries like ruptured globes, lacerations, and orbital fractures, more at-home injuries, and were less likely to have health insurance. 61,65,68 The greater proportion of severe injuries may have been associated with increased intimate partner violence and home improvement projects as people quarantined. 67 For the anterior segment, patients who presented during the pandemic in India were more likely to have more severe corneal ulcers (22% vs 60%, P<0.001), more frank perforations (4% vs 18%, P=0.002), poorer treatment successes (51% vs 71%, P=0.007), and a higher proportion of anatomical failure (24% vs 2%, P<0.001) compared to patients who presented in the prior year.…”

Section: Ocular Emergencies and Effects Of Delayed Carementioning

confidence: 99%

“… 61 , 65–67 In Italy, there was a 59% reduction in patient visits to the ophthalmic emergency department, and in Spain, there was a 65% decrease during the lockdown. 68 …”

Section: Ophthalmic Clinical Services and Effects Of Delayed Carementioning

confidence: 99%

See 2 more Smart Citations

Ocular and Systemic Complications of COVID-19: Impact on Patients and Healthcare

Leung¹,

Fan²,

Flynn³

et al. 2022

OPTH

View full text Add to dashboard Cite

There is increasing information available about the effects of the SARS-CoV-2 virus on the systemic and ocular health of patients, as well as the effects of delayed health care. This mini-review summarizes the potential complications and treatments of COVID-19. Systemic findings include respiratory illness, risk of thromboembolic events, and neurologic findings. Some patients may develop persistent symptoms even after the infection resolves. Effective treatment options include glucocorticoids, antivirals, interleukin-6 antagonists, monoclonal antibodies, Janus kinase inhibitors and vaccines. Potential ocular findings of COVID-19 include conjunctivitis, cranial nerve palsies, and microvascular changes in the retina; most symptoms resolved over time. During the lockdown periods, teleophthalmology was utilized to triage non-urgent issues; patients who did present to emergency departments tended to have more severe disease with worse visual prognoses. While transient delays in outpatient ophthalmic care may be tolerated in some patients, others experienced significant vision loss with interruptions in treatments. Resumption of ophthalmic care as soon as possible may help mitigate the effects of delayed care due to the pandemic.

show abstract

Section: Ocular Emergencies and Effects Of Delayed Carementioning

confidence: 99%

Section: Ocular Emergencies and Effects Of Delayed Carementioning

confidence: 99%

See 1 more Smart Citation

Ocular and Systemic Complications of COVID-19: Impact on Patients and Healthcare

Leung¹,

Fan²,

Flynn³

et al. 2022

OPTH

View full text Add to dashboard Cite

show abstract

“…Patients were initially examined by an ED physician before being referred to the ophthalmology clinic on the same day. Several studies have found a decrease in visits to ophthalmic emergency departments during the pandemic [ 4 , 5 ]. A few of these studies were conducted in multi-purpose EDs where not only eye-related symptoms but all urgent medical complaints were evaluated, and a few studies quantified the number of visits and the etiologies of eye diseases.…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Emergency Department Visits Resulting in Ophthalmology Consultations

Engin¹,

Öztürk²,

Yagci³

et al. 2022

Cureus

View full text Add to dashboard Cite

The aim of this study is to determine the characteristics of eye-related emergency department (ED) visits resulting in ophthalmology consultation during the COVID-19 pandemic and compare them against an equivalent period from the previous year. MethodsIn this study, we reviewed the charts of patients who were admitted to ED with ocular complaints between March 11th, 2020 (the date of the first COVID-positive case in our country) and March 11th, 2021 (Study period 1; SP1) and those who were admitted to ED within the equivalent period of the previous year (Study period 2; SP2). The frequency of eye-related cases, the urgency status of complaints, diagnosis, treatment applied, and hospitalization status of the patients were compared. ResultsThe proportion of ophthalmology consultations among all medical departments decreased from 4.52% to 4.04% (p<0.001). There was a 40.5% reduction in eye-related ED admissions during the pandemic, and the top three ocular diagnoses were foreign bodies of the ocular surface (24.3%), corneal abrasion (18.7%), and blow-out fractures (6.2%) during SP1. The proportion of urgent eye-related emergency visits increased during the pandemic year (80.7% of total cases) compared to the year prior to the pandemic (66.0% of total cases) (p<0.001). Although the number of ophthalmology consultations per day decreased during lockdown periods, this decrease was not statistically significant. ConclusionDuring the first year of the COVID-19 pandemic, the number of eye-related ED visits decreased in comparison to the year which preceded the pandemic. However, the proportion of urgent visits increased during the pandemic. Understanding the circumstances under which patients seek eye care in EDs is critical to rendering the optimal level of service of available resources.

show abstract

“…Such injuries have poor visual outcomes unless treated in a timely manner. [ 6 12 13 14 15 16 ] In this study, we assessed changes in the patterns of posterior segment trauma and its possible causes by conducting a regional multicenter study following the national lockdown in 2020 due to the COVID-19 pandemic.…”

mentioning

confidence: 99%

Changing patterns of posterior segment trauma during the COVID-19 pandemic: A regional analysis from the Bodhya Eye Consortium

Parchand

Shenoy²,

Muralidhar³

et al. 2021

Indian J Ophthalmol

View full text Add to dashboard Cite

Purpose: To assess changes in the presentation patterns of posterior segment trauma during the COVID-19 pandemic from six tertiary eye care institutes of North and Central India. Methods: A multicenter, hospital-based, retrospective comparative analysis of patients presenting with posterior segment trauma was done during the COVID-19 (Group A) (March 25, 2020 - September 30, 2020) period and the pre-COVID-19 (Group B) (March 25, 2019 - September 30, 2019) period. Results: A total of 405 patients were diagnosed with posterior segment trauma (Group A: 206, Group B: 199). The time interval between onset of trauma and presentation was higher in Group A (16.59 ± 29.87 days) as compared to Group B (9.41 ± 19.19 days) ( P = 0.004). A majority of patients in Group A had a history of prior consultation before presentation ( P = 0.049). In Group A, 120 (58.2%) patients sustained ocular trauma at home as compared to 80 (40.2%) patients in Group B ( P < 0.0001). Patients presenting with light perception were significantly more in Group A (43.7%) as compared to Group B (30.2%) ( P = 0.004). In Group B, 37.6% patients had presenting visual acuity of counting finger or better as compared to 27.6% patients in Group A ( P = 0.07). Patients in Group A had a significantly higher proportion of post-traumatic endophthalmitis with delayed presentation ( P = 0.011) and retinal detachment ( P = 0.041). Patients undergoing surgery for foreign-body removal were significantly fewer in Group A ( P = 0.05). Conclusion: Although the number of patients presenting with posterior segment trauma was comparable in Groups A and B, a greater number of patients sustained home injuries during the COVID-19 pandemic. A majority of these patients had delayed presentation with poor presenting visual acuity and a higher tendency of retinal detachment.

show abstract

Impact of Covid-19 pandemic on Ophthalmic Emergency Department in an Italian tertiary eye centre

Cited by 12 publications

References 27 publications

Ocular and Systemic Complications of COVID-19: Impact on Patients and Healthcare

Ocular and Systemic Complications of COVID-19: Impact on Patients and Healthcare

The Impact of the COVID-19 Pandemic on Emergency Department Visits Resulting in Ophthalmology Consultations

Changing patterns of posterior segment trauma during the COVID-19 pandemic: A regional analysis from the Bodhya Eye Consortium

Contact Info

Product

Resources

About