Acta Scientific Ophthalmology (ISSN: 2582-3191)

Research Article Volume 3 Issue 11

Analysis of Emergency Ocular Surgeries during a Pandemic- Experience of a Tertiary Eye Care Centre

Vinitha L Rashme, Sankarananthan R, Madhu Shekhar* and Senthil Prasad

Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India

*Corresponding Author: Madhu Shekhar, Head of Department, Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.

Received: September 25, 2020; Published: October 14, 2020

×

Abstract

Objective: To analyze the demography and clinical profile of ocular emergency surgeries performed during COVID-19 pandemic in a tertiary eye care center.

Design: This is a retrospective study. We included data of the patients who underwent ocular emergency surgeries from 24.03.2020 to 15.05.2020 (24.03.2020 was the date of commencement of national wide lockdown in our country). Data from the corresponding time of the previous year (24.03.2019 to 15.05.2019) were taken for comparative analysis.

Setting: This is a retrospective Hospital based study. The data were retrieved from electronic medical record system.

Participants: Patients who underwent emergency ocular surgery during the study period were included. 242 patients were included for 2020 study period and 948 for 2019 study period.

Results: Overall 242 patients underwent ocular emergency surgeries during the pandemic. The mean age of the patients was 41.52 ± 22.6, median was 45 years (Interquartile range, IQR: 24 - 60), were mostly adults 187 (79.3%). Majority of them were males 157 (64.9%). More than half of our patients 127 (52.69%) presented from within 60 km of the point of care. History of ocular trauma was seen in 130 (53.9%) patients and among them 42 (32.3%) fall under the age group of 0 - 15 years. Most common indications for surgery were open globe injury 64 (26.4%) and rhegmatogenous retinal detachment 38 (15.7%). There was significant increase in open globe injury (from 12.8% to 26.4%) and lens induced glaucoma (7.7% to 13.2%) when compared to the corresponding time of the previous year.

Conclusion: We need to educate people regarding the importance of timely treatment of ocular emergencies to get a better outcome. Health care sector should be well equipped and accessible to handle emergencies during these pandemics. Hospitals need to prepare for expected surge in patients during post pandemic era.

Keywords: Pandemic; Emergency Surgery; Ocular Trauma; Open Globe Injury

×

References

  1. Coronavirus disease (COVID-19).
  2. COVID-19: Lockdown across India, in line with WHO guidance | | UN News.
  3. Hu Yaguang., et al. “Positive Detection of SARS-CoV-2 Combined HSV1 and HHV6B Virus Nucleic Acid in Tear and Conjunctival Secretions of a Non-Conjunctivitis COVID-19 Patient with Obstruction of Common Lacrimal Duct”. Acta Ophthalmologica 2 (2020): 1-5.
  4. Olivia Li., et al. “Preparedness among Ophthalmologists: During and Beyond the COVID-19 Pandemic”. Ophthalmology American Academy of Ophthalmology5 (2020): 569-572.
  5. Reddy JagadeshC., et al. “A New Normal with Cataract Surgery during COVID-19 Pandemic”. Indian Journal of Ophthalmology7 (2020): 1269.
  6. Sengupta S., et al. “All India Ophthalmological Society - Indian Journal of Ophthalmology consensus statement on preferred practices during the COVID-19 pandemic”. Indian Journal of Ophthalmology 68 (2020): 711-724.
  7. Huang Chaolin., et al. “Clinical Features of Patients Infected with 2019 Novel Coronavirus in Wuhan, China”. The Lancet10223 (2020): 497-506.
  8. Babu Naresh., et al. “To Evaluate the Effect of COVID-19 Pandemic and National Lockdown on Patient Care at a Tertiary-Care Ophthalmology Institute”. Indian Journal of Ophthalmology8 (2020): 1540-1544.
  9. Gharebaghi, Reza., et al. “COVID-19: Preliminary Clinical Guidelines for Ophthalmology Practices”. Medical Hypothesis, Discovery and Innovation Ophthalmology Journal2 (2020): 149-158.
  10. Du, Hao., et al. “Practical Experience on Emergency Ophthalmic Surgery during the Prevalence of COVID-19”. Graefe’s Archive for Clinical and Experimental Ophthalmology 258 (2020): 1-3.
  11. Tang, Emily W. H.., et al. “Emergency Ophthalmic Surgeries during COVID-19—a Hong Kong Perspective”. Graefe’s Archive for Clinical and Experimental Ophthalmology 2 (2020): 1-2.
  12. Cano-Valderrama Oscar., et al. “Acute Care Surgery during the COVID-19 Pandemic in Spain: Changes in Volume, Causes and Complications. A Multicentre Retrospective Cohort Study”. International Journal of Surgery 80 (2020): 157-161.
  13. Laura E Wong., et al. “Where Are All the Patients? Addressing Covid-19 Fear to Encourage Sick Patients to Seek Emergency Care”. NEJM Catalyst (2020): 1-12.
  14. Hartnett Kathleen P., et al. “Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020”. Morbidity and Mortality Weekly Report23 (2020): 699-704.
  15. Attipoe-Dorcoo Sharon., et al. “Mobile Health Clinic Model in the COVID-19 Pandemic: Lessons Learned and Opportunities for Policy Changes and Innovation”. International Journal for Equity in Health 19 (2020).
  16. Pellegrini Marco., et al. “Changing Trends of Ocular Trauma in the Time of COVID-19 Pandemic”. Eye (Basingstoke) 34.7 (2020): 1248-1250.
×

Citation

Citation: Madhu Shekhar., et al. “Analysis of Emergency Ocular Surgeries during a Pandemic- Experience of a Tertiary Eye Care Centre". Acta Scientific Ophthalmology 3.11 (2020): 33-38.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is October 10, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US