Delayed hospital presentation of acute central retinal artery occlusion during the COVID-19 crisis: the HORA study brief report No. 4

Au, Sunny Chi Lik; Ko, Callie Ka Li

doi:10.4103/ijo.ijo_2005_21

Cited by 11 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Considering that the study’s data reflect a pre-COVID-19 period, there were no irregularities regarding the hospitalization length, doctor availability, or overall capacity of the hospital. Additionally, up to the study’s end date, COVID-19 did not affect access or greatly influence possible follow-up consultation, as mentioned in other studies [ 37 , 38 ]. However, it was difficult to collect data retrospectively due to a ban on physical hospital access and the strict measures undertaken for COVID-19, because the data record search and collection were performed during the pandemic.…”

Section: Discussionmentioning

confidence: 66%

Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

et al. 2023

View full text Add to dashboard Cite

Eye injuries are a major cause of visual disability worldwide and may present a burden to both quality of life of the sufferers and healthcare services. The aim of this study was to extract and triangulate information on the demographic, clinical, and social features of eye-injured adult patients admitted to a tertiary hospital in Greece. The design was a five-year retrospective study of eye-injured adult patients, admitted to the General University Hospital of Heraklion, Crete (GUHH), the single tertiary referral hospital on the island. Drawing the profile of eye-injured patients may add to future health planning. Data collected from 1 January 2015 to 31 December 2019, such as sociodemographic features and clinical information, were extracted. One hundred twenty-eight patients were included. Of those, there was no available information on activity during injury for 6 patients, 78 (60.9%) had work-related ocular injuries, and 44 (34.4%) had non-work-related ocular injuries. Patients with no current formal employment, those who were retired, and formally unemployed and manual force workers had the higher rates of work-related injuries. The most common work-related injuries were closed globe injuries, specifically contusions, while ruptures and penetrating wounds were the most frequent of the open globe injuries. Within the univariate analyses, work-related eye injuries were significantly associated with male gender, middle age, and the place related to daily work activity. Determinants of poor final visual acuity (VA) were the initial VA, the type of injury (p < 0.0001), the distance of the place of residence from the hospital, and the time to hospital admission (p < 0.013). In a multivariate analysis, referred patients and those with open globe injuries arrived at hospital after a two-hour interval compared with those who were not referred and those with closed globe injuries (p ≤ 0.05). A reduction in the time to hospital admission deserves further attention. The interconnection of community and health system services through a capacity increase and networking needs further research in order to obtain targeted and viable access for eye-injured patients.

show abstract

Section: Discussionmentioning

confidence: 66%

Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

et al. 2023

View full text Add to dashboard Cite

show abstract

“…During the Covid-19 pandemic, a delayed emergency department presentation was reported for medical emergencies, including ophthalmology [ 14 – 16 ]. In contrast to these findings, we did not observe a delayed presentation of PIE patients during the pandemic which likely also contributed to the fact that visual acuity after 3 and 6 months was comparable between the two groups.…”

Section: Discussionmentioning

confidence: 99%

Legal obligation in the general population: face mask influence on endophthalmitis after intravitreal injection

Neubauer

Gklavas

Kortüm

et al. 2022

Graefes Arch Clin Exp Ophthalmol

View full text Add to dashboard Cite

Purpose To investigate whether compulsory face masking in public life changes the incidence or pattern of post-injection endophthalmitis (PIE). Patients and methods All injections of bevacizumab, ranibizumab, aflibercept, dexamethasone or triamcinolone between 01/01/2015 and 12/31/2021 at the University Eye Clinic of Tuebingen were included in this retrospective analysis. The injection procedure itself was unchanged since 2015 and included the use of a sterile drape covering the head up to the shoulders which prevents airflow toward the eye. Furthermore, all staff wore a face mask and gloves at all times. The two study periods were defined by the introduction of a compulsory face masking rule in public life (01/01/2015 until 04/27/2020 vs. 04/28/2020 until 12/31/2021). Results A total of 83,543 injections were performed in the tertiary eye clinic, associated with a total of 20 PIE (0.024%, 1/4177 injections). Of these, thirteen PIE were documented during the pre-pandemic period (0.021%, 1/4773 injections) and seven PIE during the pandemic period (0.033%, 1/3071 injections). No significant difference in PIE risk was observed (p = 0.49), and there was no case of oral flora associated PIE. Conclusion Although some potential confounders (wearing time, skin flora) could not be considered, there was no clear signal that the introduction of compulsory face masking in public life did alter the risk for PIE in our patient population. Three and six months after PIE, no difference in visual acuity was detectable between the two study periods.

show abstract

“…Secondary outcomes were adverse effects and complications of HBOT. As there was a delay in hospital presentation during the COVID-19 pandemic, 13 the pre-COVID-19 group (before 23 January 2020 when the first confirmed COVID-19 case was recorded in Hong Kong) was compared with the COVID-19-pandemic group to determine the difference in VA changes. Normality of data distribution was tested by the Shapiro-Wilk test.…”

Section: Methodsmentioning

confidence: 99%

“…10 We have previously reported an absence of SARS-CoV-2 among our cohort and delayed hospital presentation during the COVID-19 pandemic. [11][12][13] This study aims to review the efficacy and safety of HBOT for CRAO in Hong Kong patients.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of hyperbaric oxygen therapy for acute central retinal artery occlusion in Hong Kong: results of the first 3 years

Chong

Leow

et al. 2022

Hong Kong Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: To review the efficacy and safety of hyperbaric oxygen therapy (HBOT) for central retinal artery occlusion (CRAO) in Hong Kong patients. Methods: Patients diagnosed with CRAO with symptom onset ≤6 hours who failed emergency bedside ocular treatment were referred to a course of HBOT. Changes in best-corrected visual acuity (VA) after HBOT and adverse effects and complications of HBOT were recorded. Changes in best-corrected VA between the pre-COVID-19 group and the COVID-19-pandemic group were compared. Results: 34 men and 26 women with CRAO aged 27 to 89 years were included for analysis. The mean follow-up period was 169±226 days. The mean number of HBOT sessions received was 8.6±3.2. The mean best-corrected VA improved from 2.02±0.36 to 1.53±0.61 logMAR after HBOT (p<0.00001). 65% of patients had improvement and 33.3% had no improvement. VA changes between the pre-COVID-19 group (n=22) and COVID-19-pandemic group (n=38) were comparable (-0.53±0.58 vs -0.46±0.57 logMAR, p=0.59), despite a delay in hospital attendance. 41.7% of patients failed to equalize the pressure during treatment requiring myringotomy or even grommet insertion. 20% of patients had barotrauma. Other adverse events included convulsion, confusion, sinus pain, and hypoglycemia. Conclusion:In patients with CRAO, HBOT may be effective in improving best-corrected VA, even during the COVID-19 pandemic.

show abstract

Delayed hospital presentation of acute central retinal artery occlusion during the COVID-19 crisis: the HORA study brief report No. 4

Cited by 11 publications

References 5 publications

Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

Clinical and Social Features of Patients with Eye Injuries Admitted to a Tertiary Hospital: A Five-Year Retrospective Study from Crete, Greece

Legal obligation in the general population: face mask influence on endophthalmitis after intravitreal injection

Efficacy and safety of hyperbaric oxygen therapy for acute central retinal artery occlusion in Hong Kong: results of the first 3 years

Contact Info

Product

Resources

About