The Impact of Covid-19 on the Incidence and Pattern of Oculofacial Injuries | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 4, Volume 45, Issue 1, January 2021, Page 15-18 PDF (46.49 K) | ||||
| Document Type: Research article | ||||
| DOI: 10.21608/ejprs.2021.165780 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Gaber* 1; Hany Mahmoud2; Seham A. Abpkresha3; Tarek A. Abulezz   4
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| 1The Departments of Plastic Surgery, Faculty of Medicine, Sohag University, Egypt | ||||
| 2The Departments of Ophthalmology, Faculty of Medicine, Sohag University, Egypt | ||||
| 3The Departments of Public Health & Community Medicine, Faculty of Medicine, Sohag University, Egypt | ||||
| 4The Departments of Plastic Surger, Faculty of Medicine, Sohag University, Egypt | ||||
| Abstract | ||||
| Background: Coronavirus Disease (Covid-19) has emerged as a global health problem by the end the 2019. In response to this pandemic, a worldwide lockdown was implemented. In Egypt, the lockdown was implemented on March 25th and lasted for about 3 months. In this retrospective study we tried to evaluate the impacts of Covid-19 lockdown on the incidence and pattern of oculofacial injuries the lockdown was effected in Egypt for 2 months in the period from April 1st till the end of May 2020. Patients and Methods: We reviewed the files of patients who were presented with oculofacial injuries to the Trauma Unit of Sohag University Hospital during the period from 1 April - 31 May in both 2019 and 2020 years. Demographic data of the patients, mode of trauma, definitive diagnosis and the management provided were collected and analyzed and the data of the two years were compared. Results: A significant decrease in oculofacial injuries by 68.3 percent with a change in the mode of trauma and method of trauma. Males are more commonly the victims before and during the lockdown. The mean age before lockdown was 33.95±16.7, while it was 27.38±18.6 during lockdown. Significant increase in the assault from others in lockdown (pvalue £0.001) with a decrease in motor car accidents (MCA) (p-value £0.001), significant increase in lid wounds, avulsed lid rupture globe and orbital fractures (p-value £0.001). Conclusion: Covid-19 lockdown resulted in significant change in the incidence and pattern of oculofacial injuries. | ||||
| Keywords | ||||
| Oculofacial trauma – Lockdown; Coronavirus – Covid-19 | ||||
| References | ||||
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1- De Juan E., Sternberg P. and Michels R.G.: Penetrating ocular injuries, types of injuries and visual results. Ophthalmology, 90 (11): 1318-1322. doi: 10.1016/S0161- 6420 (83)34387-6, 1993. 2- Esmaeli B., Elner S.G., Schork M.A. and Elner V.M.: Visual outcome after penetrating trauma, a clinicopathological study. Ophthalmology, 102 (3): 393-400. Doi: 10.1016/s0161-6420(95)31009-3, 1995. 3- Georgouli T., Pountos I., Chang B.Y. and Giannoudis P.V.: Prevalence of ocular and orbital injuries in polytrauma patients. Eur. J. Trauma Emerg. Surg., 37 (2): 135-140. doi: 10.1007/s00068-010-0029-6, 2011. 4- Cheung C.A., Rogers-Martel M., Golas L., Chepurny A., Martel J.B. and Martel J.R.: Hospital-based ocular emergencies: Epidemiology, treatment, and visual outcomes. Am. J. Emerg. Med., 32 (3): 221-224. doi:10.1016/ j.ajem.2013.11.015, 2014. 5- Soni M., Khan I.U. and Jadoon Z.: The pattern of ocular trauma in patients at Govt. Naseerullah Khan Babar Memorial Hospital, Peshawar (A study from 2010-2014). Ophthalmol Update, 13 (4): 271-275, 2015. 6- Khanna R.C. and Honavar S.G.: All eyes on Coronavirus- What do we need to know as ophthalmologists. Indian J. Ophthalmol., 68: 549-53, 2020. 7- Cao W., Fang Z., Hou G., Han M., Xu X., Dong J. and Zheng J.: The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, doi: 10.1016/j.psychres.2020.112934, 2020. 8- Asmundson G.J. and Taylor S.: Coronaphobia: Fear and the 2019-nCoV outbreak. J. Anx. Disord, 70 1-2. 10.1016/ j.janxdis.2020.102196, 2020. 9- Ozturk, Cemile Nurdan M.Da; Kuruoglu, Doga M.Db; Ozturk, Can M.Da; Rampazzo, Antonio M.D., Ph.Dc and Gurunian (Gurunluoglu), Raffi M.D., Ph.Dc: Plastic Surgery and the COVID-19 Pandemic, Annals of Plastic Surgery: August - Volume 85 - Issue 2S - p S155-S160 doi: 10.1097/SAP.0000000000002443, 2020. Table (1): Mode of trauma before and during the lockdown. Mode trauma Falling from height FFH Assault MCA Sharp object Firearm Total Before lockdown 19 (15.44%) 18 (14.63%) 82 (66.67%) 2 (1.63%) 2 (1.63%) 123 During lockdown 14 (35.90%) 15 (38.46%) 3 (7.69%) 5 (12.82%) 2 (5.13%) 39 pvalue 0.003 0.003 0.000 0.010 0.027 Table (2): Diagnosis of cases before and during the lockdown. Diagnosis Brow wound Hyphema Vitreous hemorrhage Lid wound Orbital fracture Rupture globe Avulsed lid Total Before lockdown 20 (16.26%) 4 (3.25%) 2 (1.63%) 39 (31.71%) 40 (32.52%) 6 (4.88%) 12 (9.75%) 123 During lockdown 8 (20.51%) 5 (12.82%) 3 (7.69%) 8 (20.51%) 11 (28.21%) 2 (5.13%) 2 (5.13%) 39 pvalue 0.010 0.010 0.010 0.005 0.027 1.000 0.027 18 Vol. 45, No. 1 / The Impact of Covid-19 on the Incidence & Pattern of Oculofacial Injuries 10- Hassan, Kareem M.D.; Prescher, Hannes M.D.; Wang, Frederick M.D.; Chang, David W. M.D. and Reid, Russell R. M.D., Ph.D.: Evaluating the Effects of COVID-19 on Plastic Surgery Emergencies, Annals of Plastic Surgery: August - Volume 85 - Issue 2S - p S161-S165 doi: 10.1097/SAP.0000000000002459, 2020. 11- Rajiv Agarwal, Maneesh Singhal, Vinay Kant Shankhdhar, Ravi Kumar Chittoria, Ranjit Kumar Sahu, Veena Singh and Ramesh Chandra: Plastic surgery practices amidst global COVID-19 pandemic: Indian consensus, Journal of Plastic, Reconstructive & Aesthetic Surgery, ISSN 1748- 6815, https://doi.org/10.1016/j.bjps.2020.08.003, 2020 | ||||
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