Impact of COVID-19-related lockdown-I on a network of rural eye centres in Southern India

Rathi, Varsha M; Das, Anthony Vipin; Khanna, Rohit C

doi:10.4103/ijo.ijo_2303_20

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…Only essential procedures were performed and most of the patients were treated for conjunctivitis. 14 A third study, which was conducted in a tertiary eye care Institute reported that there was a reduction in the number of patients presenting with ocular trauma in their emergency department during the lockdown as compared to the previous year. 15…”

Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 on healthcare system in India: A systematic review

Kapoor

Kaur

Saeed

et al. 2023

Journal of Public Health Research

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Despite an extensive healthcare system in India, the COVID-19 Pandemic created havoc upon the existing Indian healthcare system by disrupting the supply of essential healthcare services to patients. It has also highlighted the significant-quality discrepancies of healthcare facilities between the rural-urban areas and between public and private healthcare providers. The not so advanced healthcare system of India was exposed through the lack of oxygen and essential drugs required for the treatment of COVID-19. Additionally, during the pandemic period there was a drastic decline in seeking non-COVID-19 disease related healthcare services. The objective of this systematic review is to determine whether COVID-19 has impacted the healthcare system in India.

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Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 on healthcare system in India: A systematic review

Kapoor

Kaur

Saeed

et al. 2023

Journal of Public Health Research

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“…The Government of India brought into effect a nation-wide lockdown to prevent the spread of the COVID-19 virus in a population of 1.3 billion people ( 2 ). Studies have shown that there was a sharp decline in patients accessing care during the lockdown period in India and there were a minor proportion of patients who presented to the emergency due to glaucoma related disorders ( 3 , 4 ). The unlock 1.0 guidelines in India that were released from June 2020 ensured unrestricted movement of persons and goods ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Year One of COVID-19 Pandemic: Effect on Presentation of Patients With Glaucoma in a Multi-Tier Ophthalmology Network in India

Das

Senthil²

2022

Front. Ophthalmol.

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ObjectiveTo describe the demographics and clinical profile of patients with glaucoma presenting during the novel coronavirus (COVID-19) lockdown and unlock phases in India.MethodsThis retrospective hospital-based comparative study included patients presenting between March 25, 2017, and March 31, 2021. All patients who presented with glaucoma disorders were included as cases. The demographic and clinical data of these glaucoma patients were collected using an electronic medical record system.ResultsOverall, 34,419 patients (mean 47 per day) diagnosed with glaucoma diseases presented to the network and were included for analysis. The mean age of the patients was 54.16 ± 18.74 years and most were male (n=21,140; 61.42%) from the urban region (n=12,871;37.4%). On categorizing based on the timeline of the COVID-19 pandemic, most of the patients presented pre-COVID-19 (n=29,122; 84.61%), followed by a minority (n=175; 0.51%) during the lockdown and the rest (n=5,122; 14.88%) during unlock phase. An increasing number of patients with secondary glaucoma (n=82; 46.86%) and presenting from the local intra-city (n=82; 46.86%) was seen during the lockdown. There was a 6.6-fold increase in neovascular glaucoma and a 2.7-fold increase in lens induced glaucoma during the lockdown phase ((p<0.001) for both). There was a significant increase in subjects in 4th decade (p<0.03) and a decrease in subjects in 7th decade (p<0.008) during the lockdown period.ConclusionThe presentation of patients with glaucoma disorders to the hospital is evolving due to the COVID-19 pandemic. The footfalls of patients during the unlock regained to two-thirds of the pre COVID-19 level. During the lockdown, the older patients were less, there was an increase in younger patients and those with secondary glaucoma, and the majority presenting from within the city.

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“…The Government of India enforced policies to prevent the spread of the COVID-19 virus in a population of 1.3 billion people [ 2 ]. Studies have shown that access to patient care showed a sharp decline during the lockdown period in India and that a vitreoretinal procedure was required in a third of the patients who underwent a surgical intervention [ 3 , 4 ]. The unlock 1.0 guidelines in India that were released from June 2020 ensured unrestricted movement of persons and goods [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of COVID-19 Pandemic on Presentation of Patients With Diabetic Retinopathy in a Multitier Ophthalmology Network in India

Das¹,

Narayanan²,

Rani³

2021

Cureus

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Objective: This study aimed to describe the demographics and clinical profile of patients with diabetic retinopathy (DR) presenting during the novel coronavirus disease 2019 (COVID-19) lockdown and unlock phases in India. Methods: This hospital-based cross-sectional study included patients presenting from March 25, 2019, to March 31, 2021. All patients who presented with DR were included as cases. The data were collected using an electronic medical record system. Results: In total, 88,012 patients diagnosed with retinal diseases were presented to the network and included for analysis. There were 21,271 (24%) DR patients during the study period and the majority were men (71%) from the urban area (45%). An increasing number of patients with proliferative DR (56%), sight-threatening DR (79%), need for vitreoretinal procedures (31%), and intravitreal injections (19%) were seen during the lockdown (phase one-four). There was a significant increase in the number of patients with blindness in pre-lockdown (20%), lockdown (32%), and post-lockdown (26%). Patterns of sight-threatening DR and blindness were similar in both fresh and follow-up patients. Conclusion: The presentation of DR patients in hospital is evolving because of the COVID-19 pandemic. The footfalls of patients during the unlock (phase 1-10) regained to two-thirds of the pre-COVID-19 level. There was an increase in patients with sight-threatening DR and the need for vitreoretinal surgery and intravitreal injections during the lockdown (phase 1-4).

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Impact of COVID-19-related lockdown-I on a network of rural eye centres in Southern India

Cited by 6 publications

References 9 publications

Impact of COVID-19 on healthcare system in India: A systematic review

Impact of COVID-19 on healthcare system in India: A systematic review

Year One of COVID-19 Pandemic: Effect on Presentation of Patients With Glaucoma in a Multi-Tier Ophthalmology Network in India

Effect of COVID-19 Pandemic on Presentation of Patients With Diabetic Retinopathy in a Multitier Ophthalmology Network in India

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