Incremental innovations in pediatric ophthalmology department during the COVID-19 pandemic

Kaur, Kirandeep; Kannusamy, Veena; Gurnani, Bharat

doi:10.4103/ijo.ijo_118_21

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…There were 16 (6.92%) pediatric ophthalmology and squint publications with maximum in the month of July 2020, Jan, and Feb 2021 with 3 (1.30%) each. The eye-catching publications included innovations[ 42 ] and eureka moments[ 43 ] in pediatric ophthalmology department. Table 3 gives a comprehensive month-wise distribution of subspecialty COVID-19 articles.…”

Section: Discussionmentioning

confidence: 99%

Intricate scientometric analysis and citation trend of COVID-19-related publications in Indian Journal of Ophthalmology during COVID-19 pandemic

Kaur

Gurnani

2021

Indian Journal of Ophthalmology

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Purpose: To analyze the trend of COVID-19-related publications in the Indian Journal of Ophthalmology (IJO) and assess the specialty wise correlation, distribution, and citation trend during the COVID-19 pandemic. Methods: A retrospective analysis of all COVID-19-related articles was performed from April 2020 to May 2021. The bibliographic records were obtained from the website of IJO, Editor IJO email, and PubMed. The data was then exported as XML into Microsoft access for scientometric analysis. The articles were segregated as Original, Review, Case Report/Series, Letter to the Editor/Commentary, Guest Editorial, PointCounterpoint, Consensus Criteria, Ophthalmic Images, Photo Essay, Surgical Techniques, and All India Ophthalmic Society Meeting Papers. The data was comprehensively analyzed for specialty-wise correlations, distribution, citation trend, and reasons for the same. Results: A total of 231 COVID-19-related articles were published during the study period. The maximum articles were [82 (35.49%)] letters to the editor, followed by [51 (22.08%)] original articles, [30 (12.99%)] commentaries, and [20 (8.66%)] editorials. The least were perspectives, consensus, images, and photo assay with [1 (0.43%)] each. The maximum publications were in July [44 (19.05%)] and least in April [1 (0.43%)]. Considering specialty, the maximum articles were related to general ophthalmology [124 (53.68%)] and least were in refractive surgery and community ophthalmology with [1 (0.43%)] each. The maximum citations were for original articles [352 (34.65%)], which was 2.3 times higher than review articles and letters to editor [150 (14.76%)]. General ophthalmology had 740 (72.83%) citations, which were nearly five times that of cornea [140 (13.78%)]. Conclusion: The IJO showed a trough and crest pattern of COVID-19 publications month wise. Letter to editor and general ophthalmology COVID-19 articles had maximum publications with maximum citations for general ophthalmology owing to practice patterns and COVID-19 challenges.

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Section: Discussionmentioning

confidence: 99%

Intricate scientometric analysis and citation trend of COVID-19-related publications in Indian Journal of Ophthalmology during COVID-19 pandemic

Kaur

Gurnani

2021

Indian Journal of Ophthalmology

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“…They used disposable intravenous (IV) tubing to make loops for face masks, ensuring good fitting in pediatric cases. 70 To maintain social distancing and prevent the risk of transmission, a photoscreener was used to screen patients with an acrylic sheet in between, thus separating the patient and the photoscreener. The refraction cubicles were modified, and an acrylic shield was instilled to prevent aerosol-based transmission.…”

Section: Innovations In Pediatric Ophthalmology During Covid-19mentioning

confidence: 99%

Impact of Covid-19 on Pediatric Ophthalmology Care: Lessons Learned

Kaur,

Muralikrishnan,

Hussaindeen

et al. 2023

PHMT

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The COVID-19 pandemic came with many new challenges that forced personal and professional lifestyle modifications. Medical facilities were in scarcity against this new unknown enemy and were challenged with the overloaded patient flow, scarcity of healthcare staff, and evolving treatment modalities with a better understanding of the virus each day. Ophthalmology as a “branch of medicine” suffered challenges initially because of a lack of guidelines for patient management, close working distance during routine examinations, and halt of major surgeries, including cataracts. Pediatric ophthalmology had major implications, as reduced outpatient visits would mean deeper amblyopia, and changed lifestyles, including online classes and home refinement, predisposing children to myopia, digital eye strain, and worsening of strabismus. COVID-19 also unveiled underlying accommodation and convergence anomalies that predisposed pediatric and adolescent patients to an increased prevalence of headache and acute onset esotropia. Teleophthalmology and other innovative solutions, including the use of prism glasses, safe slit-lamp shields, alternative ways of school screening with the use of photoscreeners, performing retinoscopy only when needed, and using autorefractors were among the few guidelines or modifications adopted which helped in the efficient and safe management of pediatric patients. Many pediatric ophthalmologists also suffered in terms of financial constraints due to loss of salary or even closure of private practices. School screening and retinopathy of prematurity screening suffered a great setback and costed a lot of vision years, data of which remains under-reported. Important implications and learnings from the pandemic to mitigate future similar situations include using teleophthalmology and virtual platforms for the triage of patients, managing non-emergency conditions without physical consultations, and utilizing home-based vision assessment techniques customized for different age groups. Though this pandemic had a lot of negative implications, the innovations, modifications, and other important learnings helped pediatric ophthalmologists in navigating safely.

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“…Mask-induced fogging is a known phenomenon and this was taken care of by using a simple solution that was applied over the microscope eyepiece to prevent mask-induced fogging while operating on the patients. There were numerous innovations in the paediatric department, like the use of disposable IV tubing to make adjustable earloops for children; using a S12C mobile vision screener to safely screen patients by employing an acrylic sheet physically separating the screener and patient to protect the examiner; implementing slit-lamp shields to prevent aerosol transmission of the virus during close-contact examination; 4 and using head loupes to examine infants and small children from a safe distance. The authors nicely elaborated the details regarding the perception of patients and doctors regarding COVID-19 and provided valuable insight into the psychological aspect and knowledge perception of patients regarding COVID-19.…”

Section: Dear Editormentioning

confidence: 99%

Letter to the Editor re: “Effects of the COVID-19 Pandemic on Turkish Ophthalmologists.’’–Incremental Innovations in Clinical Ophthalmology During the COVID-19 Pandemic

Gurnani¹,

Kaur²

2021

tjo

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Incremental innovations in pediatric ophthalmology department during the COVID-19 pandemic

Cited by 5 publications

References 3 publications

Intricate scientometric analysis and citation trend of COVID-19-related publications in Indian Journal of Ophthalmology during COVID-19 pandemic

Intricate scientometric analysis and citation trend of COVID-19-related publications in Indian Journal of Ophthalmology during COVID-19 pandemic

Impact of Covid-19 on Pediatric Ophthalmology Care: Lessons Learned

Letter to the Editor re: “Effects of the COVID-19 Pandemic on Turkish Ophthalmologists.’’–Incremental Innovations in Clinical Ophthalmology During the COVID-19 Pandemic

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