Delayed follow‐up of glaucoma patients due to COVID‐19 pandemic – impact on disease progression
Purpose To determine the impact of delayed follow‐up on the disease course in patients with glaucoma. Methods A retrospective case series of 224 glaucoma patients. Data analysis from the hospital electronic medical record was performed on patients attending the glaucoma clinic between April and May...
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| Veröffentlicht in: | Acta ophthalmologica (Oxford, England) England), 2022-01, Vol.100 (S267), p.n/a |
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| creator | Szymanska, Maja Normando, Eduardo Cordeiro, Maria F. |
| description | Purpose
To determine the impact of delayed follow‐up on the disease course in patients with glaucoma.
Methods
A retrospective case series of 224 glaucoma patients. Data analysis from the hospital electronic medical record was performed on patients attending the glaucoma clinic between April and May 2021 at Charing Cross Hospital, London, United Kingdom, after easing of the national lockdown due to COVID‐19 pandemic. The main outcome measures included increased intraocular pressure (IOP), worsening of visual field (VF) defect, thinning of retinal nerve fibre layer (RNFL) and the posterior pole using spectral domain Optical Coherence Tomography (OCT).
Results
Notes from 224 patients were analysed. Among them, 24 patients were identified to develop a progression of glaucoma. Majority of patients (10, 42%) had open angle glaucoma, 6 (25%) had normal tension glaucoma, 5 (21%) were glaucoma suspects, 2 (8%) had narrow angle glaucoma and 1 (4%) had angle closure glaucoma. The mean IOP (±SD) pre‐lockdown was 15.4 ± 3.8 mmHg and post‐lockdown was 16.7 ± 5.4 mmHg (p 0.05). Of the 24 patients who developed progression, 16 had an increase in IOP (mean ∆ IOP was 3.8 ± 1.8 mmHg; p |
| doi_str_mv | 10.1111/j.1755-3768.2022.109 |
| format | Article |
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To determine the impact of delayed follow‐up on the disease course in patients with glaucoma.
Methods
A retrospective case series of 224 glaucoma patients. Data analysis from the hospital electronic medical record was performed on patients attending the glaucoma clinic between April and May 2021 at Charing Cross Hospital, London, United Kingdom, after easing of the national lockdown due to COVID‐19 pandemic. The main outcome measures included increased intraocular pressure (IOP), worsening of visual field (VF) defect, thinning of retinal nerve fibre layer (RNFL) and the posterior pole using spectral domain Optical Coherence Tomography (OCT).
Results
Notes from 224 patients were analysed. Among them, 24 patients were identified to develop a progression of glaucoma. Majority of patients (10, 42%) had open angle glaucoma, 6 (25%) had normal tension glaucoma, 5 (21%) were glaucoma suspects, 2 (8%) had narrow angle glaucoma and 1 (4%) had angle closure glaucoma. The mean IOP (±SD) pre‐lockdown was 15.4 ± 3.8 mmHg and post‐lockdown was 16.7 ± 5.4 mmHg (p < 0.05). The average RNFL thickness pre‐lockdown was 79.7 ± 15.7 µm and post‐lockdown was 78.8 ± 15.6 µm (p > 0.05). Of the 24 patients who developed progression, 16 had an increase in IOP (mean ∆ IOP was 3.8 ± 1.8 mmHg; p < 0.05), 19 patients had a clinically significant RNFL thinning (mean ∆ was 3.3 ± 1.4 µm; p < 0.05) and 9 patients had worsening of VF. The average timing between pre‐ and post‐lockdown visit was 15.1 months (SD ± 7.6).
Conclusions
These results confirm that a proportion of patients developed glaucoma progression during the COVID Lockdown which could be attributed to delayed follow‐up. Further analyses of these data will be needed to confirm how the results of this study could help to guide future decisions making and guidance on prioritising and managing glaucoma patients if disruption to standard of care occurs.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/j.1755-3768.2022.109</identifier><language>eng</language><publisher>Malden: Wiley Subscription Services, Inc</publisher><subject>COVID-19 ; Electronic medical records ; Glaucoma ; Pandemics ; Patients ; Thinning ; Visual field</subject><ispartof>Acta ophthalmologica (Oxford, England), 2022-01, Vol.100 (S267), p.n/a</ispartof><rights>2022 The Authors © 2022 Acta Ophthalmologica Scandinavica Foundation</rights><rights>Copyright © 2022 Acta Ophthalmologica Scandinavica Foundation</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1755-3768.2022.109$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45575,46833</link.rule.ids></links><search><creatorcontrib>Szymanska, Maja</creatorcontrib><creatorcontrib>Normando, Eduardo</creatorcontrib><creatorcontrib>Cordeiro, Maria F.</creatorcontrib><title>Delayed follow‐up of glaucoma patients due to COVID‐19 pandemic – impact on disease progression</title><title>Acta ophthalmologica (Oxford, England)</title><description>Purpose
To determine the impact of delayed follow‐up on the disease course in patients with glaucoma.
Methods
A retrospective case series of 224 glaucoma patients. Data analysis from the hospital electronic medical record was performed on patients attending the glaucoma clinic between April and May 2021 at Charing Cross Hospital, London, United Kingdom, after easing of the national lockdown due to COVID‐19 pandemic. The main outcome measures included increased intraocular pressure (IOP), worsening of visual field (VF) defect, thinning of retinal nerve fibre layer (RNFL) and the posterior pole using spectral domain Optical Coherence Tomography (OCT).
Results
Notes from 224 patients were analysed. Among them, 24 patients were identified to develop a progression of glaucoma. Majority of patients (10, 42%) had open angle glaucoma, 6 (25%) had normal tension glaucoma, 5 (21%) were glaucoma suspects, 2 (8%) had narrow angle glaucoma and 1 (4%) had angle closure glaucoma. The mean IOP (±SD) pre‐lockdown was 15.4 ± 3.8 mmHg and post‐lockdown was 16.7 ± 5.4 mmHg (p < 0.05). The average RNFL thickness pre‐lockdown was 79.7 ± 15.7 µm and post‐lockdown was 78.8 ± 15.6 µm (p > 0.05). Of the 24 patients who developed progression, 16 had an increase in IOP (mean ∆ IOP was 3.8 ± 1.8 mmHg; p < 0.05), 19 patients had a clinically significant RNFL thinning (mean ∆ was 3.3 ± 1.4 µm; p < 0.05) and 9 patients had worsening of VF. The average timing between pre‐ and post‐lockdown visit was 15.1 months (SD ± 7.6).
Conclusions
These results confirm that a proportion of patients developed glaucoma progression during the COVID Lockdown which could be attributed to delayed follow‐up. Further analyses of these data will be needed to confirm how the results of this study could help to guide future decisions making and guidance on prioritising and managing glaucoma patients if disruption to standard of care occurs.</description><subject>COVID-19</subject><subject>Electronic medical records</subject><subject>Glaucoma</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Thinning</subject><subject>Visual field</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNqNUMtqwzAQFKWFpmn_oAdBz071sGXrGJI-AoEc-qA3IcvrYGNbrmUTcssnFPqH-ZLKpPTcvewyO7PDDkK3lMyor_tyRuMoCngskhkjjM0okWdo8gee_83RxyW6cq4kRFAhwgmCJVR6DxnObVXZ3fHwNbTY5nhb6cHYWuNW9wU0vcPZALi3eLF5Xy09jUq_ajKoC4OPh29c1K02PbYNzgoH2gFuO7vtwLnCNtfoIteVg5vfPkVvjw-vi-dgvXlaLebrwNCIyCCOecYjAmCS0ECmJcRpJGXKco8xnkoQEUlikplIhJwbneaUUCGFkcBMwvgU3Z3ueu_PAVyvSjt0jbdUzD9MKeEs9qzwxDKdda6DXLVdUeturyhRY6CqVGNeasxOjYH6hfSy5CTbFRXs_6VR883LKP0BsXR8SA</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Szymanska, Maja</creator><creator>Normando, Eduardo</creator><creator>Cordeiro, Maria F.</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope></search><sort><creationdate>202201</creationdate><title>Delayed follow‐up of glaucoma patients due to COVID‐19 pandemic – impact on disease progression</title><author>Szymanska, Maja ; Normando, Eduardo ; Cordeiro, Maria F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1509-773d350eec84ceda9e7b599b2f0ee23b9e650870dc56433cabf101696c9e2c823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>COVID-19</topic><topic>Electronic medical records</topic><topic>Glaucoma</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Thinning</topic><topic>Visual field</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Szymanska, Maja</creatorcontrib><creatorcontrib>Normando, Eduardo</creatorcontrib><creatorcontrib>Cordeiro, Maria F.</creatorcontrib><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Szymanska, Maja</au><au>Normando, Eduardo</au><au>Cordeiro, Maria F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delayed follow‐up of glaucoma patients due to COVID‐19 pandemic – impact on disease progression</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><date>2022-01</date><risdate>2022</risdate><volume>100</volume><issue>S267</issue><epage>n/a</epage><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>Purpose
To determine the impact of delayed follow‐up on the disease course in patients with glaucoma.
Methods
A retrospective case series of 224 glaucoma patients. Data analysis from the hospital electronic medical record was performed on patients attending the glaucoma clinic between April and May 2021 at Charing Cross Hospital, London, United Kingdom, after easing of the national lockdown due to COVID‐19 pandemic. The main outcome measures included increased intraocular pressure (IOP), worsening of visual field (VF) defect, thinning of retinal nerve fibre layer (RNFL) and the posterior pole using spectral domain Optical Coherence Tomography (OCT).
Results
Notes from 224 patients were analysed. Among them, 24 patients were identified to develop a progression of glaucoma. Majority of patients (10, 42%) had open angle glaucoma, 6 (25%) had normal tension glaucoma, 5 (21%) were glaucoma suspects, 2 (8%) had narrow angle glaucoma and 1 (4%) had angle closure glaucoma. The mean IOP (±SD) pre‐lockdown was 15.4 ± 3.8 mmHg and post‐lockdown was 16.7 ± 5.4 mmHg (p < 0.05). The average RNFL thickness pre‐lockdown was 79.7 ± 15.7 µm and post‐lockdown was 78.8 ± 15.6 µm (p > 0.05). Of the 24 patients who developed progression, 16 had an increase in IOP (mean ∆ IOP was 3.8 ± 1.8 mmHg; p < 0.05), 19 patients had a clinically significant RNFL thinning (mean ∆ was 3.3 ± 1.4 µm; p < 0.05) and 9 patients had worsening of VF. The average timing between pre‐ and post‐lockdown visit was 15.1 months (SD ± 7.6).
Conclusions
These results confirm that a proportion of patients developed glaucoma progression during the COVID Lockdown which could be attributed to delayed follow‐up. Further analyses of these data will be needed to confirm how the results of this study could help to guide future decisions making and guidance on prioritising and managing glaucoma patients if disruption to standard of care occurs.</abstract><cop>Malden</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/j.1755-3768.2022.109</doi><tpages>0</tpages></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete; Wiley Free Content |
| subjects | COVID-19 Electronic medical records Glaucoma Pandemics Patients Thinning Visual field |
| title | Delayed follow‐up of glaucoma patients due to COVID‐19 pandemic – impact on disease progression |
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