Changing trends of ocular trauma in the time of COVID-19 pandemic

Pellegrini, Marco; Roda, Matilde; Geronimo, Natalie di; Lupardi, Enrico; Giannaccare, Giuseppe; Schiavi, Costantino

doi:10.1038/s41433-020-0933-x

Cited by 74 publications

(90 citation statements)

References 3 publications

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“…COVID-19 probably has instilled the fear of face-to-face medical care and also the ophthalmological consultations decreased [8,10,11] leading physicians to ask: "Where did all the ophthalmological emergencies go? ".…”

Section: Introductionmentioning

confidence: 99%

Ophthalmological emergencies and the SARS-CoV-2 outbreak

et al. 2020

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Since the end of 2019, an outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), originating in the Chinese city of Wuhan has spread rapidly worldwide causing thousands of deaths. Coronavirus disease (COVID-19) is supported by SARS-CoV-2 and represents the causative agent of a potentially fatal disease that is of great global public health concern. Italy has been the first European country recording an elevated number of infected forcing the Italian Government to call for total lockdown. The lockdown had the aim to limit the spread of infection through social distancing. The purpose of this study is to analyze how the pandemic has affected the patient's accesses to the Ophthalmological Emergency Department of a tertiary referral center in central-northern Italy, during the lockdown period. The charts of all patients that came to the Emergency Department during the lockdown period (March 10-May 4, 2020) have been retrospectively collected and compared with those in the same period of 2019 and the period from 15 January-9 March 2020. A significant reduction of visits during the lockdown has been observed, compared with those of pre-lockdown period (reduction of 65.4%) and with those of the same period of 2019 (reduction of 74.3%). Particularly, during the lockdown, minor and not urgency visits decreased whereas the undeferrable urgency ones increased. These pieces of evidence could be explained by the fear of patients to be infected; but also revealed patients misuse of emergency services.

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Section: Introductionmentioning

confidence: 99%

Ophthalmological emergencies and the SARS-CoV-2 outbreak

et al. 2020

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“…As evident in other epidemics, peoples' fear of infection may affect their utilization patterns of health services and reduce the access to health care (Chang et al 2004). We have previously noted a significant change in the trends of eye injuries since the beginning of the lockdown (Pellegrini et al 2020). Herein, we aimed to assess the influence of COVID-19 on ophthalmological emergency department visits.…”

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confidence: 98%

The impact of COVID‐19 pandemic on ophthalmological emergency department visits

Pellegrini

Roda

Lupardi

et al. 2020

Acta Ophthalmologica

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“…While these actions promote social distancing, ocular trauma is still occurring. 40,41 Previous papers have described an overall decrease in ocular trauma with a subset increase in ocular trauma related to home activities during COVID-19. Only Peligrini et al noted a stable rate of orbital fractures and open globe injuries.…”

Section: Discussionmentioning

confidence: 99%

Changes in Patient Visits and Diagnoses seen in an Academic Ophthalmology Department during the COVID-19 pandemic

Berkenstock¹,

Liberman

McDonnell

et al. 2020

Preprint

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BACKGROUND: To minimize the risk of viral transmission, ophthalmology practices limited face to face encounters to only patients with urgent and emergent ophthalmic conditions, in the weeks after the start of the COVID-19 epidemic in the United States. The impact of this is unknown. METHODS: We did a retrospective analysis of the change in the frequency of ICD-10 code use and patient volumes in the six weeks before and after the changes in clinical practice associated with COVID-19.RESULTS: The total number of encounters decreased four-fold after the implementation of clinic changes associated with COVID-19. The low vision, pediatric ophthalmology, general ophthalmology, and cornea divisions had the largest decrease of in-person visits. Conversely, telemedicine visits increased sixty-fold. The number of diagnostic codes associated with ocular malignancies, most ocular inflammatory disorders, and retinal conditions requiring intravitreal injections increased. ICD-10 codes associated with ocular screening exams for systemic disorders decreased during the weeks post COVID-19. CONCLUSION: Ophthalmology practices need to be prepared to experience changes in practice patterns, implementation of telemedicine, and decreased patient volumes during a pandemic. Knowing the changes specific to each subspecialty clinic is vital to redistribute available resources correctly.

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Changing trends of ocular trauma in the time of COVID-19 pandemic

Cited by 74 publications

References 3 publications

Ophthalmological emergencies and the SARS-CoV-2 outbreak

Ophthalmological emergencies and the SARS-CoV-2 outbreak

The impact of COVID‐19 pandemic on ophthalmological emergency department visits

Changes in Patient Visits and Diagnoses seen in an Academic Ophthalmology Department during the COVID-19 pandemic

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