Indian Journal of Ophthalmology

LETTER TO THE EDITOR
Year
: 2020  |  Volume : 68  |  Issue : 7  |  Page : 1491-

Effect of COVID-19 on ocular diseases and ophthalmology residency training program-A developing country's perspective


Bhagabat Nayak, Saswati Sen, Sucheta Parija 
 Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Saswati Sen
All India Institute of Medical Sciences, Bhubaneswar - 751 019, Odisha
India




How to cite this article:
Nayak B, Sen S, Parija S. Effect of COVID-19 on ocular diseases and ophthalmology residency training program-A developing country's perspective.Indian J Ophthalmol 2020;68:1491-1491


How to cite this URL:
Nayak B, Sen S, Parija S. Effect of COVID-19 on ocular diseases and ophthalmology residency training program-A developing country's perspective. Indian J Ophthalmol [serial online] 2020 [cited 2020 Aug 6 ];68:1491-1491
Available from: http://www.ijo.in/text.asp?2020/68/7/1491/287499


Full Text



Dear Editor:

In response to “COVID-19 pandemic: Lessons learned and future directions.” by Khanna et al.,[1] although the government has taken all measures to prevent the spread of the infection, we want to highlight one area which is going to be severely affected—the ophthalmology residency training. Due to the recent crisis of COVID-19, the lockdown has entered the fourth phase in India and all the elective surgeries have been postponed.[2] Most patients are reporting to the emergency department with ocular trauma, sudden loss of vision or phacolytic and phacomorphic glaucoma, and treated on an emergency basis.

The elective surgeries are halted which has hampered the surgical training of ophthalmology residents. Ophthalmic surgery requires fine motor skills with hand–eye coordination which is achieved after a certain amount of practice. The residents achieve these skills through the number of surgeries performed as simulation practice is not the norm in our country. Since the tenure of residency is fixed, the loss to master these surgical skills by practice or through observation from the masters is irreversible and of great loss. A resident spends an average of 10 hours per week assisting surgeries and attends an average of four classes per week which has lost for 2 months now. These problems can be solved to a certain extent through teamwork and proper planning. The academic program can be done by webinar or online conferencing, linking institutions through Skype or Zoom, etc.[3] The surgical training exercise to be emphasized with video-based case discussions of all subspecialties. Ophthalmic surgical simulators to be recommended in all teaching institutions as a future training platform that will meet such a crisis in years to come. Hence, being proactive in finding out solutions to the basic and common problems at grassroots is the need of the hour.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Nair AG, Gandhi RA, Natarajan S. Effect of COVID-19 related lockdown on ophthalmic practice and patient care in India. Results of a survey. Indian J Ophthalmol 2020;68:725-30.
2Khanna RC, Cicinelli MV, Gilbert SS, Honavar SG, Murthy GS. COVID -19 pandemic: Lessons learned and future directions. Indian J Ophthalmol 2020;68:703-10.
3Vargo E, Ali M, Henry F, Kmetz D, Krishnan J, Bologna R. Cleveland clinic akron general urology residency program's COVID-19 experience. Urology 2020;140:1-3.