Navigating the new normal in ophthalmology

Honavar, Santosh G

doi:10.4103/ijo.ijo_1649_20

Indian J Ophthalmol

2020

DOI: 10.4103/ijo.ijo_1649_20

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Navigating the new normal in ophthalmology

Santosh G Honavar

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Cited by 9 publications

(10 citation statements)

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“…The policy of social distancing to prevent the spread of the disease has crippled the ability of hospital to deal with large number of patients. [ 5 ] Patients presenting with non-emergency conditions further strain the already limited resources. The delay in presentation to the hospital due to lockdown and fear of infection, can lead to progression of the disease, further intensifying the difficulties.…”

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confidence: 99%

To evaluate the effect of COVID-19 pandemic and national lockdown on patient care at a tertiary-care ophthalmology institute

Babu

Kohli

Mishra

et al. 2020

Indian J Ophthalmol

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Purpose: To evaluate the effect of COVID-19 pandemic and national lockdown on patient care at a tertiary-care ophthalmology institute. Methods: Records of all the patients who presented from March 25 th to May 3 rd , 2020 were scanned to evaluate the details regarding the presenting complaints, diagnosis, advised treatment and surgical interventions. Results: The number of outpatient department visits, retinal laser procedures, intravitreal injections and cataract surgeries during this lockdown decreased by 96.5%, 96.5%, 98.7% and 99.7% respectively compared from the corresponding time last year. Around 38.8% patients could be triaged as non-emergency cases based on history alone while 59.5% patients could be triaged as non-emergency cases after examination. Only eighty-four patients opted for video-consultation from April 15 th to May 3 rd , 2020. Nine patients presented with perforated corneal ulcer, but could not undergo penetrating keratoplasty due to the lack to available donor corneal tissue. One of these patients had to undergo evisceration due to disease progression. Two patients with open globe injury presented late after trauma and had to undergo enucleation. Around 9% patients could not undergo the advised urgent procedure due to logistical issues related to the lockdown. Conclusion: A significant number of patients could not get adequate treatment during the lockdown period. Hospitals need to build capacity to cater to the expected patient surge post-COVID-19-era, especially those requiring immediate in-person attention. A large number of patients can be classified as non-emergency cases. These patients need to be encouraged to follow-up via video-consultation to carve adequate in-person time for the high-risk patients.

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confidence: 99%

To evaluate the effect of COVID-19 pandemic and national lockdown on patient care at a tertiary-care ophthalmology institute

Babu

Kohli

Mishra

et al. 2020

Indian J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…COVID-19 has emerged to be the metaphoric Black Swan of the 21 st century – an unexpected event of large magnitude and repercussion that has completely changed our way of living. [ 3 ] The Government of India imposed a countrywide total lockdown of all non-essential services aiming towards restraining the quick spread of the disease. The first four phases of this lockdown extended from March 23 to April 14, 2020, from April 15 to May 3, 2020, from May 4 to May 17, 2020 and from May 18 to May 31, 2020 respectively.…”

mentioning

confidence: 99%

“…[ 4 ] The policy of social distancing for preventing the extent and spread of disease has crippled the ability of hospitals to deal with the large number of patients. [ 3 ] The delay in reaching the hospital due to the lockdown and terror of infection can lead to progression of the disease, further intensifying the difficulties. There is a need to halt delays in approaching hospital care and to increase provision of high-quality care by health-care workers.…”

mentioning

confidence: 99%

Impact of COVID-19 related national lockdown on care of corneal transplantation patients at a tertiary eye care centre in India

Bhalerao

Vuyyuru

Mohamed

et al. 2021

Indian Journal of Ophthalmology

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Purpose: To study impact of COVID-19 related national lockdown on care of corneal transplantation patients at a tertiary eye centre in Andhra Pradesh state of South India. Methods: Cross-sectional questionnaire-based study conducted at tertiary eye care centre in Andhra Pradesh state of South India, included 109 patients who underwent keratoplasty(full thickness or partial thickness) at our centre and who came for follow-up visit after lockdown. Factors such as type, indication, number of keratoplasties in the operated eye, and unusual clinical outcomes identified during visit after the lockdown, were studied. Uncorrected visual acuity, best corrected visual acuity, clarity of graft, graft-host junction apposition, intactness of sutures, intraocular pressure and disc status were compared on visits made before and after lockdown. Results: During lockdown, 77.1% patients were properly using medications that was significantly ( P = 0.0003) lower than that of before the lockdown (90.8%). After the lockdown, 82.3% patients were using medications properly that was comparable ( P = 0.11) to that of during the lockdown (77.1%). The proportion of eyes with clear grafts and intact sutures decreased significantly after lockdown. The unusual outcomes observed after the lockdown were graft failure (36.7%), graft edema (11%), graft infiltrate(5.5%), phthysis bulbi (1.85%) and edematous graft cleared in eyes 3.7% eyes. Conclusion: We noted significant drop in usage of medications from 91% before lockdown to 77% during lockdown and maintained at 83% after lockdown. Edematous grafts increased from 41% before lockdown to 54% after the lockdown. Intactness of sutures decreased from 82% before lockdown to 69% after lockdown.

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“…Several eye care systems have tried different technological solutions and practice algorithms to combat current hurdles. [ 1 2 3 4 5 6 ] Yet, the uncertainty about the prevailing COVID-19 eradication or similar pandemics in the future mandates healthcare systems to further expand from VC to home-telemedicine.…”

mentioning

confidence: 99%

Expanding the scope of tele-ophthalmology from vision centers to home

Aruljyothi

Bavishi

Balasundaram

et al. 2021

Indian Journal of Ophthalmology

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Navigating the new normal in ophthalmology

Cited by 9 publications

References 15 publications

To evaluate the effect of COVID-19 pandemic and national lockdown on patient care at a tertiary-care ophthalmology institute

To evaluate the effect of COVID-19 pandemic and national lockdown on patient care at a tertiary-care ophthalmology institute

Impact of COVID-19 related national lockdown on care of corneal transplantation patients at a tertiary eye care centre in India

Expanding the scope of tele-ophthalmology from vision centers to home

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