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Article ; Online: Paediatric eye injuries during a COVID-19 pandemic lockdown.

Franchina, Maria / Blaszkowska, Magda / Lewis, Joel / Johnson, Alice / Clark, Antony / Lam, Geoffrey / Mackey, David A

Clinical & experimental optometry

2021  Volume 105, Issue 6, Page(s) 637–641

Abstract: ... presentations have changed in other parts of the world since the start of the pandemic, during COVID-19 lockdown ... clinic in Western Australia during the nationwide COVID-19 lockdown and to determine ... injuries were the most common accidental eye injury presentation during lockdown (70/110, 64%), followed ...

Abstract Clinical relevance: Eye injuries, both accidental and non-accidental, are a significant cause of long-term visual impairment in children. An understanding of when and how such injuries occur is key to development of adequate prevention strategies.
Background: To evaluate accidental and non-accidental eye injuries in children presenting to the major tertiary emergency department and outpatient ophthalmology clinic in Western Australia during the nationwide COVID-19 lockdown and to determine whether the frequency or nature of these injuries differed from pre-pandemic presentations.
Methods: Retrospective review of the medical records of paediatric patients presenting to the emergency department and specialist ophthalmology clinic with an ocular injury and those presenting to the hospital Child Protection Unit with physical injuries during March-August 2020 and the same period in 2019.
Results: There was no significant difference in the total number of accidental eye injury presentations during the lockdown period despite a significant decrease in emergency department attendance overall. Closed-globe injuries were the most common accidental eye injury presentation during lockdown (70/110, 64%), followed by adnexal injuries (39/110, 35%) and open-globe injuries (1/110, 1%). In contrast, referrals to the hospital Child Protection Unit for suspicious injuries declined during lockdown.
Although eye injury presentations have changed in other parts of the world since the start of the pandemic, during COVID-19 lockdown in Western Australia, accidental paediatric ocular and adnexal trauma sustained at home continues to be a significant cause for hospital attendance. Public education regarding in-home eye injury prevention must be ongoing.
MeSH term(s) COVID-19/epidemiology ; Child ; Communicable Disease Control ; Eye Injuries/epidemiology ; Eye Injuries/etiology ; Humans ; Ophthalmology ; Pandemics ; Retrospective Studies
Language English
Publishing date 2021-08-17
Publishing country United States
Document type Journal Article
ZDB-ID 639275-1
ISSN 1444-0938 ; 0816-4622
ISSN (online) 1444-0938
ISSN 0816-4622
DOI 10.1080/08164622.2021.1964921
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