The effects of the Covid-19 pandemic on eye-related emergency visits

ABSTRACT Objective To evaluate the effects of the Covid-19 pandemic on the profile of emergency eye-related visits and compare the findings with the same period before the pandemic. Methods Cross-sectional study performed during one year at a reference eye hospital. Cases registered at the emerge...

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Main Authors: Julia de Avila Fowler, Arthur Gustavo Fernandes, Rafael Cunha de Almeida, Glaucia Luciano da Veiga, Fernando Luiz Affonso Fonseca, Vagner Loduca Lima
Format: Article
Language:English
Published: Sociedade Brasileira de Oftalmologia 2023-09-01
Series:Revista Brasileira de Oftalmologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100223&lng=en&tlng=en
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author Julia de Avila Fowler
Arthur Gustavo Fernandes
Rafael Cunha de Almeida
Glaucia Luciano da Veiga
Fernando Luiz Affonso Fonseca
Vagner Loduca Lima
author_facet Julia de Avila Fowler
Arthur Gustavo Fernandes
Rafael Cunha de Almeida
Glaucia Luciano da Veiga
Fernando Luiz Affonso Fonseca
Vagner Loduca Lima
author_sort Julia de Avila Fowler
collection DOAJ
description ABSTRACT Objective To evaluate the effects of the Covid-19 pandemic on the profile of emergency eye-related visits and compare the findings with the same period before the pandemic. Methods Cross-sectional study performed during one year at a reference eye hospital. Cases registered at the emergency Municipal Hospital Complex of Santo Andre, Brazil, between March, 2019 and February, 2020 were included in the study as the Pre-pandemic group. Cases registered between March, 2020 and February, 2021 were included as the Pandemic group. Cases were classified according to the International Classification of Diseases ICD-10 and Related Health Problems. Results There was a decrease of 52.1% in the emergency eye care visits during the pandemic period (n=9,198) when compared to the pre-pandemic period (n=19,220), with significant reductions in nonspecific cases (-98.1%), postoperative visits (-67.0%), disorders of the conjunctiva (-54.1%), tear film (-49.4%) and refraction (-85.6%) during the pandemic period. Conditions such as retina disorders (+202.7%), sclera disorders (+76.2%), orbit disorders (+20.2%), glaucoma (+66.6%) and trauma (+19.4%) have shown increased rates, as well as those related to eyelids (+186.9%), cornea (+33.4%), uvea (+40.2%), and herpes (+55.3%). Conclusion A drastic reduction in the number of eye-related emergency visits was observed during the Covid-19 pandemic, outlining a new profile of care, with higher frequency of sight-threatening conditions and lower frequency of contagious and non-specific diagnosis.
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spelling doaj.art-32844d76155240eabde2191dc3cee07f2023-09-26T07:42:42ZengSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia1982-85512023-09-018210.37039/1982.8551.20230046The effects of the Covid-19 pandemic on eye-related emergency visitsJulia de Avila Fowlerhttps://orcid.org/0000-0001-7945-4512Arthur Gustavo Fernandeshttps://orcid.org/0000-0002-7525-1838Rafael Cunha de Almeidahttps://orcid.org/0000-0001-5920-3695Glaucia Luciano da Veigahttps://orcid.org/0000-0002-6097-2341Fernando Luiz Affonso Fonsecahttps://orcid.org/0000-0003-1223-1589Vagner Loduca Limahttps://orcid.org/0000-0002-2342-8638ABSTRACT Objective To evaluate the effects of the Covid-19 pandemic on the profile of emergency eye-related visits and compare the findings with the same period before the pandemic. Methods Cross-sectional study performed during one year at a reference eye hospital. Cases registered at the emergency Municipal Hospital Complex of Santo Andre, Brazil, between March, 2019 and February, 2020 were included in the study as the Pre-pandemic group. Cases registered between March, 2020 and February, 2021 were included as the Pandemic group. Cases were classified according to the International Classification of Diseases ICD-10 and Related Health Problems. Results There was a decrease of 52.1% in the emergency eye care visits during the pandemic period (n=9,198) when compared to the pre-pandemic period (n=19,220), with significant reductions in nonspecific cases (-98.1%), postoperative visits (-67.0%), disorders of the conjunctiva (-54.1%), tear film (-49.4%) and refraction (-85.6%) during the pandemic period. Conditions such as retina disorders (+202.7%), sclera disorders (+76.2%), orbit disorders (+20.2%), glaucoma (+66.6%) and trauma (+19.4%) have shown increased rates, as well as those related to eyelids (+186.9%), cornea (+33.4%), uvea (+40.2%), and herpes (+55.3%). Conclusion A drastic reduction in the number of eye-related emergency visits was observed during the Covid-19 pandemic, outlining a new profile of care, with higher frequency of sight-threatening conditions and lower frequency of contagious and non-specific diagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100223&lng=en&tlng=enCovid-19Coronavirus infectionsPandemicsEmergenciesEmergency medical servicesEpidemiologyOphthalmologySocial distancingBrazil
spellingShingle Julia de Avila Fowler
Arthur Gustavo Fernandes
Rafael Cunha de Almeida
Glaucia Luciano da Veiga
Fernando Luiz Affonso Fonseca
Vagner Loduca Lima
The effects of the Covid-19 pandemic on eye-related emergency visits
Revista Brasileira de Oftalmologia
Covid-19
Coronavirus infections
Pandemics
Emergencies
Emergency medical services
Epidemiology
Ophthalmology
Social distancing
Brazil
title The effects of the Covid-19 pandemic on eye-related emergency visits
title_full The effects of the Covid-19 pandemic on eye-related emergency visits
title_fullStr The effects of the Covid-19 pandemic on eye-related emergency visits
title_full_unstemmed The effects of the Covid-19 pandemic on eye-related emergency visits
title_short The effects of the Covid-19 pandemic on eye-related emergency visits
title_sort effects of the covid 19 pandemic on eye related emergency visits
topic Covid-19
Coronavirus infections
Pandemics
Emergencies
Emergency medical services
Epidemiology
Ophthalmology
Social distancing
Brazil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100223&lng=en&tlng=en
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