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Impact of COVID-19-Related Lockdown on Glaucoma Patients
Mine Esen Barış1, Mukaddes Damla Çiftçi1, Suzan Güven Yılmaz1
1Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey
Insights
The coronavirus disease 2019 (COVID-19) lockdown significantly reduced emergency glaucoma surgeries by 71.7%. Some patients experienced vision loss due to delayed care, highlighting the need for continued access to eye health services during pandemics.
Area of Science:
- Ophthalmology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic necessitated global lockdowns, impacting healthcare access.
- Glaucoma management requires timely interventions to prevent irreversible vision loss.
Purpose of the Study:
- To analyze the impact of the COVID-19 lockdown on emergency and outpatient admissions for glaucoma patients in Turkey.
- To assess the effect of pandemic-related restrictions on glaucoma patient care and outcomes.
Main Methods:
- Retrospective chart review of glaucoma patients between March 11, 2020, and May 31, 2020 (lockdown period).
- Comparison of data with the same period in 2019.
- Evaluation of visual acuity and intraocular pressure post-lockdown.
Main Results:
- Emergency glaucoma surgeries decreased by 71.7% during the lockdown compared to 2019.
- 123 glaucoma patients were seen in outpatient clinics during the lockdown.
- Marked visual loss was detected in 5.5% of patients examined post-lockdown who missed follow-ups.
Conclusions:
- The COVID-19 lockdown led to a substantial decrease in emergency glaucoma surgeries.
- Delayed presentation for care during the lockdown resulted in vision loss for some patients.
- Ensuring continuous access to glaucoma care during public health emergencies is crucial.
Objectives:
To analyze emergency and outpatient admissions by glaucoma patients during complete lockdown due to coronavirus disease 2019 (COVID-19) to assess the effect of pandemic-related complete lockdown on glaucoma patients.
Materials And Methods:
This retrospective chart review included all glaucoma patients who were either examined and/or underwent emergency surgery between March 11, 2020 and May 31, 2020, a period of complete COVID-19-related lockdown in Turkey. The data were compared with data from patients seen during the same time period in 2019. Visual acuity and intraocular pressure data from patients examined after the lifting of the lockdown were also evaluated.
Results:
According to Turkish Ministry of Health guidelines, only emergency examinations and surgeries could be performed during the 82 days of the COVID-19 lockdown. During this period, a total of 11 eyes of 10 patients were operated and 123 patients were examined in the outpatient clinic. During the same period in 2019, 122 surgeries were performed, 39 of which were emergencies. In the first 4 weeks after the lockdown ended, 163 patients were examined at the outpatient clinic and marked visual loss was detected in 10 eyes of 9 (5.5%) patients who did not attend follow-up visits due to the pandemic.
Conclusion:
During the lockdown, emergency surgeries related to glaucoma decreased by 71.7% and marked visual loss was detected in 5.5% of the patients examined after the lockdown. These findings suggest that some patients were unable to present to clinics despite needing emergency care.
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