The Impact of Covid-19 on the Incidence and Pattern of Oculofacial Injuries

Gaber, Ahmed; Mahmoud, Hany; Abpkresha, Seham A.; Abulezz, Tarek A.

doi:10.21608/ejprs.2021.165780

The Impact of Covid-19 on the Incidence and Pattern of Oculofacial Injuries

Document Type : Research article

Authors

¹ The Departments of Plastic Surgery, Faculty of Medicine, Sohag University, Egypt

² The Departments of Ophthalmology, Faculty of Medicine, Sohag University, Egypt

³ The Departments of Public Health & Community Medicine, Faculty of Medicine, Sohag University, Egypt

⁴ The Departments of Plastic Surger, Faculty of Medicine, Sohag University, Egypt

10.21608/ejprs.2021.165780

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

References

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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
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