(searched for: doi:10.18231/j.ijceo.2020.034)
Published: 15 December 2022
Indian Journal of Clinical and Experimental Ophthalmology, Volume 8, pp 487-491; https://doi.org/10.18231/j.ijceo.2022.098
The study was conducted to observe the pattern of ocular morbidities in patients attending the ophthalmology department during the COVID-19 pandemic.: A prospective observational study was conducted in a tertiary eye care centre in Central India from 1 January 2020 to 31 December 2020, among a total of 982 patients with ocular manifestations who attended the outpatient department or emergency department. A detailed history was taken and a complete anterior and posterior segment examination was done. The standard investigation and treatment protocol of the institution was followed in all cases.: A total of 982 patients were enrolled in our study with a mean age of 36.42±18.05 years. Male preponderance was noted with an M: F ratio of 2.43. A wide spectrum of ocular manifestations during COVID-19 was observed. The anterior segment was involved in 85.1% and the posterior segment was involved in 14.9% and most common ocular manifestations affecting the anterior segment were noted as computer vision syndrome observed in 18.1% cases, followed by cataracts in 11.4% cases. : Various programs should be implemented to help in reducing the load of visual disability and blindness in the community which is increased after the COVID outbreak. With changing trends in geographical and socio-economical patterns of diseases, similar kinds of a pandemic may occur in the future. There should be formation of flexible government strategies for changing dynamics that can be timely implemented in the future for better management of curable/avoidable diseases.
Published: 15 March 2022
Indian Journal of Clinical and Experimental Ophthalmology, Volume 8, pp 9-12; https://doi.org/10.18231/j.ijceo.2022.003
InCovid pandemic of India, the first peak occured during September to December 2020. During this period, the patients avoided coming to OPD unless an emergency. It is not known, if there was any change in clinical spectrum of patients presenting to outpatient clinic, so this study gives an overview of the patients presenting to OPD in the pandemic.This study aims to enumerate various ocular symptoms of patients presenting to Ophthalmology outpatient clinic during covid pandemic period, evaluate their demographic profile and to identify any ocular manifestations of corona virus amongst these patients. This is a prospective study done between September 2020 and December 2020 after obtaining approval from Institutional Ethics Committee board. Inclusive criteria-All adult patients of both genders, attending Ophthalmology OPD during study period. Exclusive criteria-Paediatric age group patients, patients having long standing ocular ailments before pandemic. Ocular examination was done by Torch light and Slit lamp bio microscopy. P value was calculated by chi- square test.: There were a total of 374 patients during the study period, male-268(71.65%), female 106(28.34%). The common age group (146 patients out of total 374 patients) was between 20 to 40 years. The chief presenting complaints were- itching (186, males 27.61%, females 61.32% P value-0.004), redness-112 (males-74, females 38, P value-0.117) Foreign body sensation-84 (males-51, females 33, P value-0.011). Defective vision due to cataract -34 (male-18, females-16, P value-0.01109). The diagnosis related to ocular ailments were refractive errors-112(29.94%), ocular adnexa diseases-24(6.41%), conjunctiva diseases-147(39.30%), cornea diseases-12, (3.20%), lenticular disease-34, (9.09%), glaucoma diseases-16(4.27%). Medical treatment was given to most patients (312 patients, 83.42%).: In our study, majority of patients presented with itching, foreign body sensation and diagnosed mostly as conjunctivitis, predominantly viral. Most of the patients are males and in working age group.
Published: 15 June 2021
Indian Journal of Clinical and Experimental Ophthalmology, Volume 7, pp 289-292; https://doi.org/10.18231/j.ijceo.2021.059
To assess the interference of patient care due to COVID 19 related restrictions and to formulate the future guidelines.This cross-sectional online survey-based study was carried out among the ophthalmologist of Bangladesh in the early lock down period (01 April to 30 April) 2020. Total 93 ophthalmologists responded to the study. Most of the ophthalmologist were seeing the patients with red eye (40.9%), ocular trauma (40.9%), acute infections and inflammations (35.5%), and vision loss (31.2%). 80.6% responder informed that they wear Mask, gloves, and head cap during patient evaluation. 51.6% used Personal protection equipment. 55.9% used a breath shield with the slit lamp settings. 60.4% maintained hand wash, and disinfectant facilities for the patients. 85.7% ophthalmologist had ensured for wearing the mask to all patients before entering the examination and consultancy room. 86% ophthalmologist of our study had performed their surgeries for ophthalmic emergency.Wearing mask is an important tool to prevent transmission of COVID-19 for both patients and ophthalmologists in working place. Maintaining normal ophthalmic practice and surgery are challenging during COVID-19 pandemic.
Published: 15 December 2020
Indian Journal of Clinical and Experimental Ophthalmology, Volume 6, pp 522-526; https://doi.org/10.18231/j.ijceo.2020.111
COVID-19 pandemic has put all of us in astonishment and concern about its management and survival of human being since there is a great risk of human to human transmission. Teleophthalmology can play a great role to overcome this situation. Earlier teleophthalmology was mainly limited to diagnoistic reachout camps for diabetic eye disease mainly without treatment benefit to the patient. Now with advancement in media technology and availability of good quality smart phones, it is possible to extend scope of teleophthalmlogy for the treatment of superficial ailments of an eye. Our aim of the study was to analyse the eye disease pattern and impact of teleophthalmology on its management in one of the hot centre of India, i.e. Indore, during pandemic period.This study is a retrospective, interventional data analysis of patients seen in one month of Lockdown in India, from 26 March to 25 April 2020. All the patients were given teleconsultation with the help of voice calls and still pictures; video call was used wherever it was feasible. In our study, we have divided patients in two groups, first is Tele OSD (Tele Ocular Surface Disorders) where diagnosis on 2D image or video was possible and second group were OED (Other Eye Disease) where in-person consultation was required before making diagnosis or offering treatment.We have done analysis of total 119 patients records who made a call for eye problems between 26 March2020 to 25 April 2020. Out of 119 patients, 107 patients (89.91%) were in Tele OSD and 12 patients (10.08%) were in OED group. Telemedicine was prescribed in 103 patients (103/107, of tele OSD group- 96.26%), of which 102 patients (95.32%) showed marked improvement or are cured on follow-up. Among the Tele OSD group who received the treatment (103 patients), 79 patients (76.99%) were of conjunctivitis, varying from infectious to allergic origin who responded very well to treatment offered.COVID-19 pandemic has changed the understanding of medical science. Previously telemedicine (more precisely teleophthalmology) used to be a tool for outreach patient diagnosis mainly in rural or suburb area, but now with the advancement of digital media and easy availability of smart phones, it can also be used in the management of common eye diseases, even in urban population.