Clinical diversities of patient eye care in para-COVID-19 era in Western Odisha

BACKGROUND: Coronavirus disease (COVID-19) pandemic had an unprecedented effect on eye care services. The present study was conducted to assess the varied eye diseases and care around COVID-19 pandemic. METHODS: This retrospective study was conducted at BBMCH, Balangir, Ophthalmology Department, Western Odisha, from September 2019 to May 2021 in three phases (i.e., September 2019 to March 2020, April to October 2020, November 2020 to March 2021). The total OPD consultations and emergency eye surgeries conducted around the COVID-19 period were retrieved from direct attendance in the OPD register, references, or tele-consultation. RESULTS: Cumulative OPD eye consultations were found to be 13000, 3700, 7200 in pre-COVID, COVID and post-COVID period, respectively. Marked decrease in OPD cases (70%) was noticed in peak COVID period (April 2020 to October 2020) followed by slight increase during November 2020 to May 2021 i.e., (40% decrease). Allergic conjunctivitis was the commonest presentation in pre-COVID era, as compared to refractive error in COVID period. In post-COVID period, referrals, follow up cases, pending old surgical cases, red eyes formed major chunk of OPD attendance. Only 30% emergency cases underwent surgery during peak COVID, (Trauma cases, lens induced glaucoma, hypermature cataract, MLC cases, and one-eyed patients). But during post-COVID period this rose to 60%. Eight pediatric patients with intracorneal foreign body were given urgent treatment. CONCLUSION: Due to government guidelines and lockdown restrictions, majority (65%) of patients could not receive adequate treatment. But relaxation of rules in post-COVID period increased patient load to 75%.