Changing patterns of posterior segment trauma during the COVID-19 pandemic: A regional analysis from the Bodhya Eye Consortium

Autor:	Manisha Agarwal, Deepanshu Agrawal, Abhishek Varshney, Alok Sen, Alankrita Muralidhar, Indranil Saha, Swapnil Parchand, Pratik Shenoy, Shalini Singh, Hemant Singh Trehan, Gaurav Mohan Kohli, Ruchi Mittal, Anil Gangwe, Aishwarya Madharia
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty Visual acuity ocular trauma open globe injury Group A Group B closed globe injury Eye injuries posterior segment trauma Expedited Publication Original Article Eye Injuries Endophthalmitis Internal medicine medicine Humans Pandemics Retrospective Studies SARS-CoV-2 business.industry Retinal detachment Retrospective cohort study RE1-994 Prognosis medicine.disease Eye Injuries Penetrating Posterior segment of eyeball Ophthalmology Eye Foreign Bodies covid-19 medicine.symptom business
Zdroj:	Indian Journal of Ophthalmology, Vol 69, Iss 10, Pp 2828-2835 (2021) Indian Journal of Ophthalmology
ISSN:	1998-3689 0301-4738
Popis:	Purpose: To assess changes in the presentation patterns of posterior segment trauma during the COVID-19 pandemic from six tertiary eye care institutes of North and Central India. Methods: A multicenter, hospital-based, retrospective comparative analysis of patients presenting with posterior segment trauma was done during the COVID-19 (Group A) (March 25, 2020 - September 30, 2020) period and the pre-COVID-19 (Group B) (March 25, 2019 - September 30, 2019) period. Results: A total of 405 patients were diagnosed with posterior segment trauma (Group A: 206, Group B: 199). The time interval between onset of trauma and presentation was higher in Group A (16.59 ± 29.87 days) as compared to Group B (9.41 ± 19.19 days) (P = 0.004). A majority of patients in Group A had a history of prior consultation before presentation (P = 0.049). In Group A, 120 (58.2%) patients sustained ocular trauma at home as compared to 80 (40.2%) patients in Group B (P < 0.0001). Patients presenting with light perception were significantly more in Group A (43.7%) as compared to Group B (30.2%) (P = 0.004). In Group B, 37.6% patients had presenting visual acuity of counting finger or better as compared to 27.6% patients in Group A (P = 0.07). Patients in Group A had a significantly higher proportion of post-traumatic endophthalmitis with delayed presentation (P = 0.011) and retinal detachment (P = 0.041). Patients undergoing surgery for foreign-body removal were significantly fewer in Group A (P = 0.05). Conclusion: Although the number of patients presenting with posterior segment trauma was comparable in Groups A and B, a greater number of patients sustained home injuries during the COVID-19 pandemic. A majority of these patients had delayed presentation with poor presenting visual acuity and a higher tendency of retinal detachment.
Databáze:	OpenAIRE
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