Ocular Trauma During the COVID-19 Lockdown

Stedman, Emily N.; Jefferis, Joanna M; Tan, Jennifer

doi:10.1080/09286586.2021.1875012

Cited by 13 publications

(17 citation statements)

References 9 publications

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“…The widespread use of online ophthalmic consultation services during the outbreak further confirmed this view ( 28 ). In addition, there was a trend of delay in emergency department visits for ocular trauma, and Stedman et al ( 36 ) revealed that the delay between onset and visit increased from 0.33 days to 1.1 days before and after COVID-19, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…A retrospective cohort analysis in the United Kingdom noted that the number of serious ocular traumas, including rupture, lid lacerations, and IOFB, was three times the average over the past 5 years, with a 400% increase in hospital admissions due to DIY activities after the outbreak ( 36 ). Wu et al ( 35 ) also reported a nearly 30% increase in the proportion of serious ocular trauma caused by home improvement during the COVID-19 pandemic.…”

Section: Resultsmentioning

confidence: 99%

“…Since ocular trauma often leads to poor visual prognosis and blindness, timely treatment is important. The lag between onset and presentation was common during the lockdown, which may further worsen the symptoms, such as a large corneal ulcer ( 36 , 47 ). Reduced access to healthcare may be a key factor in the lag.…”

Section: Discussionmentioning

confidence: 99%

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COVID-19 Changed Prevalence, Disease Spectrum and Management Strategies of Ocular Trauma

Zhao

et al. 2022

Front. Med.

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The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted the health of people around the world and has reshaped social behaviors and clinical practice. The purpose of this perspective is to provide epidemiologists and clinicians with information about how the spectrum of ocular trauma diseases changed, as well as to optimize management for improving patient prognosis during this crisis. Analysis of current studies revealed that the prevalence of eye trauma decreased overall, with a trend of delayed medical treatment during the COVID-19 era. Irregular epidemic prevention and control measures, unprotected home activities, and unusual mental states are the main causes of ocular trauma. Strategies for reducing morbidity are also discussed, including popularizing the use norms of prevention and control supplies, taking heed to the safety of family activities, highlighting the special status of child protection, and paying attention to previous case data to implement region-specific precautions. The procedure of ophthalmological emergency and outpatient management should also be optimized, and mental health should be emphasized during this pandemic.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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COVID-19 Changed Prevalence, Disease Spectrum and Management Strategies of Ocular Trauma

Zhao

et al. 2022

Front. Med.

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“…Injuries sustained due to falls and home improvement projects were a major cause for this increase. 19 …”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19-induced lockdown on the incidence of ocular trauma presenting to a tertiary care hospital

et al. 2022

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ObjectiveTo assess the effects of lockdown and unlock phases mandated in view of COVID-19 on the incidence and characteristics of ocular trauma presenting to a tertiary care hospital.Methods and AnalysisThe study was carried out as a hospital record based retrospective comparative analysis on patients presenting with ocular trauma in the lockdown period (March–July 2020) compared with the same time frame of the previous year considered as prelockdown period (March–July 2019) and during the unlock phases (August–December 2020).ResultsOverall, the casualty department saw 464 patients of ocular trauma in the prelockdown period, 173 in the lockdown and 253 in unlock. The study showed a 44% reduction in patients visiting the casualty department for trauma during the lockdown compared with prelockdown, and a 62% reduction specifically in ocular trauma. The unlock phase showed a 21% reduction in ocular trauma compared with prelockdown and a 41% increase compared with the lockdown. In all three phases, the majority of people affected by ocular trauma were middle aged males from a rural background, sustained by assault. The lockdown saw a decrease in outdoor assaults (45%) and road traffic accidents (22%). Trauma sustained by females (18%) increased in the lockdown, as did home-based assaults (150%) and sexual assaults. The presentation of trauma, especially road traffic accidents and outdoor assaults saw a steady rise during the unlock.ConclusionThe lockdown mandated by the government in response to the COVID-19 pandemic had a significant impact on the trends of trauma presenting to healthcare facilities. There was a decrease in the overall number of patients approaching the casualty during the lockdown. However, during the lockdown, there was an increase in home-based trauma as opposed to outdoor assaults being the primary cause of trauma prior to the lockdown.

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“…The reduction in patient numbers varied depending on the ocular injury, as is in line with previous reports. [14][15][16] This could be explained by the change of the injury setting, i.e., the types and frequency of injuries typically occurring in workplaces, schools, and during social activities may differ to the those occurring at home during the lockdown. 15,16 During the lockdown, there was a considerable decrease in the percentage of patients complaining of non-specific visual symptoms without a related pathology, demonstrating that many patients that usually present to the OES, probably do not need emergency care.…”

Section: Discussionmentioning

confidence: 99%

Eye-related emergencies incidence at a tertiary referral center in Southern Italy during COVID-19 related lockdown

et al. 2021

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Background: In order to contain the community spread of coronavirus disease (COVID-19) in Italy, a stringent lockdown was imposed, which also impacted the healthcare services. The purpose of this study is to investigate the drop in the number of outpatients in the Ophthalmic Emergency Service (OES) in the Eye Clinic of University of Bari during the COVID-19 lockdown. Methods: A retrospective analysis of electronic medical records from a tertiary referral center in Southern Italy was performed. Demographics and medical characteristics of patients examined in the OES between March 10th, 2020 and May 3rd, 2020 were assessed and compared with records from the same period in 2019. We categorized the patients by sex, age group, and by the type of eye disease that was recorded as the principal diagnosis. The change (%) in the number of patients and diseases between the study periods was analyzed. Results: We observed a reduction in the number of OES visits during the lockdown (-63.4%) compared to the number of visits in 2019. The greatest changes were observed in the youngest (≤20 years; -76.6%) and the most elderly patients (≥81 years; -70.9%). The decrease in the number of patients presenting with each pathology ranged from -82% to -28.5%, depending on the pathology, and mainly involved the orbital and palpebral pathologies, anterior segment disorders, non-specific visual symptoms, and minor injuries. The diagnosis of chronic pathologies, rhegmatogenous retinal detachment, and vitreous haemorrhage increased by 134%, 100%, and 75%, respectively. Conclusions: Our results revealed the impact of the COVID-19 lockdown on OES activities in the Eye Clinic of University of Bari. A drop in number of visits across all age groups was observed. The number of patients presenting with minor and nonurgent conditions decreased, whereas the number of patients presenting with chronic diseases and urgent but deferrable conditions increased.

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Ocular Trauma During the COVID-19 Lockdown

Cited by 13 publications

References 9 publications

COVID-19 Changed Prevalence, Disease Spectrum and Management Strategies of Ocular Trauma

COVID-19 Changed Prevalence, Disease Spectrum and Management Strategies of Ocular Trauma

Impact of the COVID-19-induced lockdown on the incidence of ocular trauma presenting to a tertiary care hospital

Eye-related emergencies incidence at a tertiary referral center in Southern Italy during COVID-19 related lockdown

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