Impact of the COVID-19 pandemic on ophthalmic surgery at a tertiary hospital in South Africa

African Vision and Eye Health

Field Value
Title Impact of the COVID-19 pandemic on ophthalmic surgery at a tertiary hospital in South Africa
Creator Makda, Ismail Makgotloe, Aubrey Ally, Naseer
Subject Ophthalmology; Surgery; Cataract Surgery COVID-19; coronavirus; surgical procedures; ophthalmology; public health.
Description Background: The coronavirus disease 2019 (COVID-19) pandemic impacted the provision of ophthalmic care.Aim: This study aimed to quantify the pandemic on the number of ophthalmic surgeries.Setting: The study was conducted at a South African tertiary academic hospital.Methods: A retrospective comparative analysis of eye surgeries 1 year pre- and post- onset of the COVID-19 lockdown (27 March 2019 to 26 March 2021) was conducted. Theatre surgical records were analysed 1-year pre- and post-lockdown. All surgical procedures were recorded and subcategorised into cataract, cornea, glaucoma, oncologic, orbital, oculoplastic, strabismus, trauma, vitreoretinal, and other. Trauma surgeries in the post-pandemic year were sub-analysed based on the level alcohol restriction level.Results: Total surgeries decreased from 3521 to 1551 (P  0.001). Using multivariate analysis, the incidence rate ratio (IRR) for all surgeries during the pandemic was 0.47 (P  0.001) with a significantly reduced IRR during the first wave of 0.427 (P = 0.003) and a non-significant change during wave two; IRR 1.25 (P = 0.36). All surgical subgroups decreased significantly except oncology, insignificant decrease from 211 to 180 (P = 0.12). Trauma significantly decreased during periods of total alcohol bans; IRR of 0.50 (P  0.001). An insignificant decrease was found during periods of partial ban with an IRR of 0.83 (P = 0.06) compared with periods without alcohol restrictions.Conclusion: Post lockdown, the total number of surgeries decreased in all subgroups except oncology. Alcohol bans significantly decreased trauma surgeries.Contribution: This article provides valuable insight, which may inform public health policy.
Publisher AOSIS
Date 2023-12-19
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — retrospective analysis
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/aveh.v82i1.860
Source African Vision and Eye Health; Vol 82, No 1 (2023); 7 pages 2410-1516 2413-3183
Language eng
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Coverage Africa; South Africa; Gauteng; Soweto March 2019- March 2021 surgical procedures
Rights Copyright (c) 2023 Ismail Makda, Aubrey Makgotloe, Naseer Ally