Current Scenario of Ocular Trauma in Covid 19 Lockdown. A drift from Yester year. Observational Study in a Tertiary Care Center in Central Gujarat, India

JOURNAL TITLE: Highlights of Ophthalmology

Author
1. Sonal D. Sisodia
2. Chaitali Patel
3. Jaishree Ganjiwale
4. Samir Bhavsar
ISSN
1024-6983
DOI
10.5005/hoe-10101-50502
Volume
50
Issue
5ENG
Publishing Year
2022
Pages
5
Author Affiliations
    1. Ophthalmologist, Shree Krishna Hospital and Pramukhswami Medical College, India
    1. Associate Professor, Ophthalmologist Pramukhswami Medical College and Shree Krishna Hospital, Bhaikaka University India
    1. Department of Community Medicine, Shree Krishna Hospital, HM Patel Centre for Medical Care and Education, Anand, Gujarat, India
    1. Ophthalmologist, Department of Ophthalmology, Pramukhswami Medical College and Shree Krishna Hospital, Bhaikaka University, Karamsad, Anand Gujarat, India
  • Article keywords
    Closed Globe Injury, Shuttlecock Injury, Optical Coherence Tomography, Covid-19, Lockdown, Ocular Trauma

    Abstract

    Purpose: To highlight the effect of lockdown (March 25th to May 31st, 2020) on the pattern of Ocular Injuries and compare the spectrum of trauma cases in this period to the same in 2019. Method: All cases of Ocular trauma reporting in the EYE Out Patients Department (OPD) and Trauma Centre were included in the study. The patients were individually assessed, starting from history, visual acuity, slit lamp examination and indirect ophthalmoscopy. Patients who had to undergo surgery under general anesthesia had a pre anesthetic checkup according to the COVID regimen. Informed and written consent were taken before surgery, explaining the visual prognosis in each case. The other patients were treated on an outpatient basis. BScan, X-ray orbit and Xray chest were done if needed. All were called for follow up after the initial treatment. The cases were registered digitally in (SOLACE) and also written in a trauma register kept in our department. Cases of ocular trauma from last year, during the same period were retrieved from the trauma registers, maintained in our OPD. Result: Descriptive analysis was done to explore the findings and association of Lockdown with type of Injuries using Chi Square test. This revealed that there was a marked drop in the ocular trauma cases from 106 to a bare minimum of 54. The nature of injuries also changed from road traffic accidents and industrial injuries to injuries related to domestic front. The latter included accidental injuries during playing, sports, routine work and violence. Conclusion: Due to the complete lockdown and its consequences there was a marked change in the demographic pattern of ocular injuries as compared to the year 2019.

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