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EXPEDITED PUBLICATION, ORIGINAL ARTICLE
Year : 2021  |  Volume : 69  |  Issue : 3  |  Page : 709-713

Impact of COVID-19 pandemic and national lockdown on ocular trauma at a tertiary eye care institute


1 Vitreoretina and Uvea Services, MGM Eye Institute, Raipur, Chhattisgarh, India
2 Cornea and Anterior Segment Services, Raipur, Chhattisgarh, India
3 Orbit, Oculoplasty and Ocular Oncology Services, Raipur, Chhattisgarh, India
4 Pediatric, Squint and Community Ophthalmology Services, MGM Eye Institute, Raipur, Chhattisgarh, India

Correspondence Address:
Dr. Swapnil Parchand
Consultant, Vitreoretina and Uvea Services, MGM Eye Institute, Raipur, Chhattisgarh - 493 111
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_3200_20

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Purpose: To evaluate the impact of the COVID-19 pandemic and the national lockdown on the demographic and clinical profile of patients presenting with ocular trauma. Methods: In this retrospective, hospital-based, comparative analysis, patients presenting to the emergency department with ocular trauma in the following COVID-19 period (March 25, 2020 to July 31, 2020) were compared with patients in the pre-COVID-19 period (March 25, 2019 to July 31, 2019). Results: Overall, 242 patients (COVID-19 period: 71 and pre-COVID-19 period: 171) presented with ocular trauma. The mean age of the patients in COVID-19 and pre-COVID-19 periods were 26.7 ± 17.3 and 34.1 ± 20.3 years, respectively (P = 0.008). A majority of patients (68.6%) in both groups were from the rural background. Home-related injuries were common in the COVID-19 period (78.8%) as compared to pre-COVID-19 period (36.4%) (P < 0.0001). Iron particles (29.5%) were the common inflicting agents in the COVID-19 period while it was plant leaves (25.5%) in the pre-COVID-19 period. The most common ocular diagnosis was open globe injury (40.8%) in the COVID-19 period and microbial keratitis (47.9%) in the pre-COVID-19 period. Surgical intervention was required in 46.4% of patients in the COVID-19 period and 32.1% of patients in the pre-COVID-19 period (P = 0.034). Conclusion: During the COVID-19 period, there was a significant decline in the number of patients presenting with ocular trauma. In this period, a majority of patients sustained ocular trauma in home-settings. About half the patients required surgical intervention which was most commonly rendered in the form of primary wound repair.


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