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Challenges in managing glaucoma-related morbidity due to lockdown in a developing country
Saswati Sen1, Matuli Das1, Manmath Kumar Das1
1Department of Ophthalmology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Journal of Family Medicine and Primary Care
|May 6, 2022
Summary
Delayed presentation of glaucoma due to COVID lockdown significantly impacted ocular morbidity. While some vision was restored, many cases resulted in irreversible vision loss, highlighting the need for proactive patient outreach.
Area of Science:
- Ophthalmology
- Public Health
Background:
- The COVID-19 pandemic and associated lockdowns disrupted routine healthcare access.
- Delayed presentation in glaucoma patients can lead to irreversible vision loss.
Purpose of the Study:
- To assess ocular morbidity in glaucoma patients resulting from delayed presentation during the COVID-19 lockdown.
Main Methods:
- A retrospective study of 15 glaucoma patients presenting between October 2020 and February 2021.
- Analysis of glaucoma causes (primary angle closure, pseudoexfoliation, lens-induced, neovascular) and reasons for delayed presentation.
- Treatment included antiglaucoma medications, Nd-YAG laser, and surgery.
Main Results:
- Useful vision was restored in 5 cases; vision was not salvageable in the remaining 10.
- Vision levels ranged from 6/60 to perception of light.
- Better outcomes were observed in angle closure and lens-induced glaucoma compared to neovascular glaucoma.
Conclusions:
- Timely presentation is critical for effective glaucoma management.
- Delayed presentation, often preventable, leads to limited treatment options and irreversible vision impairment.
- Proactive strategies are needed to ensure continuous care for preventable yet irreversible eye diseases like glaucoma.
Keywords:
Angle closure glaucomadiabetic retinopathyglaucoma treatmentneovascular glaucomaprotocol in COVIDMore Related Videos
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