ArticleClinical ophthalmology (Auckland, N.Z.)2021
The Impact of COVID-19 on Acute and Elective Corneal Surgery at Moorfields Eye Hospital London.
Article in Clinical ophthalmology (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Impact of COVID-19 on ophthalmic surgical procedures in sub-Saharan Africa: a multicentre study.Tropical medicine and health · 2024Article
- A lack of an association between COVID-19 vaccination and corneal graft rejection: results of a large multi-country population based study.Eye (London, England) · 2023Article
- Global impact of COVID-19 on corneal donor tissue harvesting and corneal transplantation.Frontiers in medicine · 2023Review
- Article
- Impact of SARS-CoV-2 on Ocular Surface Pathology and Treatment Practices: a Review.Current ophthalmology reports · 2021Review
- The Ophthalmology Workload during the Lebanese Crisis and Pandemic.Middle East African journal of ophthalmologyArticle
- Vitreoretinal Surgery amid Coronavirus Disease 2019 Pandemic Restrictions.Journal of current ophthalmologyArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMoorfields Eye Hospital sits as a major tertiary centre for ophthalmic care in the United Kingdom and became a central hub to provide safe and effective ophthalmic care across London and surrounding regions during the COVID-19 pandemic. We explore the impact on both the acute and elective corneal services during the first wave of this pandemic.
methodsA retrospective review of the proportion of corneal transplants and anterior segment trauma repairs was performed during the period of March 23rd to July 1st 2020 compared with an identical period in 2019. Data were acquired from our in-house electronic patient records.
resultsA 92% reduction in corneal elective work was observed during the lockdown period compared with an identical period in 2019, with only 10 elective cases in total being performed. In addition, 91 corneal cross-linking and 76 therapeutic lasers were cancelled. There were 15 cases of primary repair for anterior segment trauma compared with 6 cases pre-COVID-19. A similar scenario occurs with removal of foreign body (4 cases during COVID-19 period versus no cases during pre-COVID-19 era) and with traumatic lens aspirations (6 cases during COVID-19 compared with 2 pre-COVID-19). Interestingly, a statistical difference (p=0.03) was found in the time interval from presentation of symptoms to emergency corneal surgery. During the COVID-19 period, a delay of 1.5 days ± 2.29 (range 0-10 days) occurred compared with 0.8 days ± 1.54 (range 0-6 days) pre-COVID-19.
conclusionStringent risk stratification reduced elective corneal surgery capacity during the lockdown thereby preserving social distancing requirements. However, an apparent increase in emergency corneal surgery seen is likely attributed to centralisation of ophthalmic services during the pandemic crisis, alongside increased domestic injuries. Despite the challenges posed, successful delivery of corneal surgery occurred whilst helping to identify lessons in preparations for future pandemics and current inefficiencies in healthcare delivery.
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