Ocular Trauma During COVID-19 Pandemic: A Systematic Review and Meta-analysis

Liang, Hang; Zhang, Meiqin; Chen, Man; Lin, Tse‐Chun; Lai, Mingying; Chen, Haoyu

doi:10.1097/apo.0000000000000539

Cited by 5 publications

(5 citation statements)

References 40 publications

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“…In addition, the study sample was limited during the study period and may not be representative for all eye injuries throughout the geographical region of Crete, as there were suspensions of work, again due to COVID-19 protective measures. As concluded by Liang et al (32) in their literature review, the COVID-19 period and the restrictions implemented led to a 67.7% drop in incidents of ocular trauma compared with previous years. Additionally, they mentioned alterations in the categories of eye injuries, since there was an increase in injuries occurring at home and a decrease of eye injuries in other activities such as work-related incidents (32).…”

Section: Final Visual Acuity (Logmar Scale)mentioning

confidence: 91%

“…As concluded by Liang et al (32) in their literature review, the COVID-19 period and the restrictions implemented led to a 67.7% drop in incidents of ocular trauma compared with previous years. Additionally, they mentioned alterations in the categories of eye injuries, since there was an increase in injuries occurring at home and a decrease of eye injuries in other activities such as work-related incidents (32). Furthermore, Anyfantakis et al (33) noted that COVID-19 pandemic revealed the importance of communication and collaboration between the different levels of health care (primary, secondary and tertiary) in order to improve attention to the needs of patients and proposed the active operation of e-communication.…”

Section: Final Visual Acuity (Logmar Scale)mentioning

confidence: 91%

“…Higher score indicates higher perceived stress levels after the summation of the items and the reversal of the seven positive questions (20). The scores were grouped into three categories: Low (0-18), moderate (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37) and high (38-56) (21). All data were collected according to Declaration of Helsinki guidelines to assure confidentiality.…”

Section: Methodsmentioning

confidence: 99%

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Ocular trauma, visual acuity related to time of referral and psychosocial determinants, during COVID‑19 pandemic: A prospective study

et al. 2023

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The aim of the present study was to explore the associations between visual outcomes of ocular injury patients in a tertiary hospital unit with clinical and demographic variables and to evaluate the psychosocial impact of the injury on the patients. An 18-month prospective study of 30 eye-injured adult patients was conducted in the General University Hospital of Heraklion, Crete, a tertiary referral hospital. All severe eye injury case information was prospectively collected between February 1, 2020 and August 31, 2021. Best corrected visual acuity (BCVA) was labelled not poor (>0.5/10 or >20/400 on the Snellen scale, <1.3 in LogMAR scale) and poor (≤0.5/10 or ≤20/400 on the Snellen scale, ≥1.3 on the LogMAR equivalent). Data regarding participants' perceived stress levels, by using Perceived Stress Scale 14 (PSS-14), were collected prospectively, one year after study end. Out of 30 ocular injury patients selected, 76.7% were men and most of them were self-employed and private or public sector workers (36.7%). Not poor final BCVA was related to not poor initial BCVA [odds ratio (OR) 1.714; P=0.006]. No statistical associations were found between visual outcome and demographic or clinical factors, but not poor final BCVA was associated with improved self-reported psychological condition of the sufferers, as examined by a questionnaire sheet developed to collect information for study purpose (8.36/10 vs. 6.40/10; P=0.011). No patient reported job loss or changed work status following the injury. Not poor initial BCVA was a significant predictor for not poor final visual outcomes (OR 1.714; P=0.006). Patients with not poor final BCVA expressed higher levels of positive psychology (8.36/10 vs. 6.40/10; P=0.011) and less fear of eye injury repetition (64.0 vs. 100.0%; P=0.286). Not poor final BCVA was associated with low PSS-14 scores one year after study end (77.3 vs. 0.0%, P=0.003). Collaboration between ophthalmologists, mental health professionals and primary care team may be important in order to help patients to cope with the psychosocial burden sequel to eye trauma.

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Section: Final Visual Acuity (Logmar Scale)mentioning

confidence: 91%

Section: Final Visual Acuity (Logmar Scale)mentioning

confidence: 91%

Section: Methodsmentioning

confidence: 99%

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Ocular trauma, visual acuity related to time of referral and psychosocial determinants, during COVID‑19 pandemic: A prospective study

et al. 2023

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“…A systematic review and meta-analysis by Liang et al showed a reduction in overall eye injuries and substantial differences in the spectrum of ocular trauma with an increased proportion of domestic ocular trauma, while a decline in sports-related trauma during the COVID-19 pandemic. 66 This article further emphasized the need for strengthening proper health education and supervision to prevent ocular injuries beyond the COVID-19 pandemic. Conde Bachiller et al, in their study, found a significant reduction in conjunctivitis, with the most significant decrease in viral conjunctivitis cases during COVID-19.…”

Section: Positive Effects Of Covid-19mentioning

confidence: 99%

“… 65 The Royal College of Anaesthetists and Association of Anaesthetists advised using local or regional anaesthesia wherever possible, saving the resources and financial costs of personal protective equipment and preserving immune function. 66 …”

Section: Impact On Pediatric Ophthalmologistsmentioning

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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