Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey
Turk J Ophthalmol. 2022 Apr 28;52(2):91-95. doi: 10.4274/tjo.galenos.2021.83765.
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.
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.
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.
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.
分析因 2019 年冠状病毒病(COVID-19)而导致的全面封锁期间青光眼患者的急诊和门诊入院情况,以评估与大流行相关的全面封锁对青光眼患者的影响。
本回顾性图表研究纳入了所有在 2020 年 3 月 11 日至 5 月 31 日期间接受检查和/或紧急手术的青光眼患者,该时期土耳其处于与 COVID-19 相关的全面封锁中。将这些数据与 2019 年同期就诊的患者数据进行比较。还评估了封锁解除后接受检查的患者的视力和眼压数据。
根据土耳其卫生部的指南,在 COVID-19 封锁的 82 天内,只能进行紧急检查和手术。在此期间,共有 10 名患者的 11 只眼接受了手术,123 名患者在门诊接受了检查。2019 年同期,共进行了 122 次手术,其中 39 次为急诊。封锁结束后的前 4 周,有 163 名患者在门诊接受了检查,由于疫情原因未参加随访的 9 名(5.5%)患者的 10 只眼出现明显视力丧失。
在封锁期间,与青光眼相关的紧急手术减少了 71.7%,封锁解除后接受检查的患者中有 5.5%出现明显视力丧失。这些发现表明,尽管一些患者需要紧急护理,但仍有一些患者无法前往诊所就诊。