Table 1 The most significant changes in diagnostic codes by ophthalmic subspecialty
From: Changes in patient visits and diagnoses in a large academic center during the COVID-19 pandemic
ANTERIOR SEGMENT | ||||||
|---|---|---|---|---|---|---|
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↑ | Conjunctival or Corneal Malignancy | 7 | 0.0 | 10 | 0.2 | 0.000 |
Contact Lens-Associated Disorder | 7 | 0.0 | 8 | 0.2 | 0.002 | |
Peripheral Cornea Disease | 19 | 0.1 | 15 | 0.3 | 0.000 | |
Corneal Ulcer | 186 | 0.7 | 134 | 2.5 | 0.000 | |
↓ | Pterigium and Pinguecula | 123 | 0.5 | 9 | 0.2 | 0.002 |
Cataract | 3851 | 15.2 | 240 | 4.4 | 0.000 | |
Refractive surgery | 154 | 0.6 | 8 | 0.2 | 0.000 | |
GLAUCOMA | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↑ | Neovascular Glaucoma | 73 | 0.3 | 51 | 1.0 | 0.000 |
Congenital and Juvenile Glaucoma | 38 | 0.2 | 22 | 0.4 | 0.000 | |
Inflammatory/ Uveitic Glaucoma | 88 | 0.3 | 51 | 1.0 | 0.000 | |
Secondary Glaucomas | 154 | 0.6 | 71 | 1.3 | 0.000 | |
↓ | Angle Closure Suspects | 194 | 0.8 | 27 | 0.5 | 0.048 |
Glaucoma Suspects | 2654 | 10.5 | 350 | 6.3 | 0.000 | |
LOW VISION | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↓ | Legal Blindness and Low Vision | 166 | 0.7 | 6 | 0.1 | 0.000 |
GENERAL OPHTHALMOLOGY / TRAUMA | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↑ | Ruptured Globe | 43 | 0.2 | 40 | 0.8 | 0.000 |
Intraocular Foreign Body | 16 | 0.1 | 10 | 0.2 | 0.008 | |
Vasculitides, ocular exam to rule out complications | 15 | 0.1 | 9 | 0.2 | 0.014 | |
Research Patient Encounters | 21 | 0.1 | 10 | 0.2 | 0.025 | |
Corneal Trauma | 74 | 0.3 | 34 | 0.6 | 0.000 | |
Endophthalmitis | 38 | 0.2 | 17 | 0.3 | 0.007 | |
↓ | Screening exam for an eye condition | 169 | 0.7 | 20 | 0.4 | 0.016 |
Refractive Error | 3282 | 13.0 | 89 | 1.7 | 0.000 | |
Family History of Eye Disease, Screening | 35 | 0.1 | 0 | 0.0 | 0.007 | |
NEURO-OPHTHALMOLOGY | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↑ | Optic Disc Edema | 74 | 0.3 | 41 | 0.8 | 0.000 |
Sixth Nerve Palsy | 28 | 0.1 | 14 | 0.3 | 0.006 | |
Optic Neuritis | 22 | 0.1 | 11 | 0.2 | 0.014 | |
Intracranial Hypertension | 62 | 0.2 | 30 | 0.6 | 0.000 | |
↓ | Nystagmus | 77 | 0.3 | 5 | 0.1 | 0.008 |
OCULAR ONCOLOGY | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↑ | Choroidal Mass | 88 | 0.3 | 32 | 0.6 | 0.006 |
↓ | Choridal Nevus | 187 | 0.7 | 18 | 0.3 | 0.001 |
OCULOPLASTIC SURGERY | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↓ | Nasolacrimal Duct Obstruction | 175 | 0.7 | 19 | 0.4 | 0.006 |
Benign Eyelid Lesions | 133 | 0.5 | 13 | 0.2 | 0.008 | |
Eyelid Malpositions | 118 | 0.5 | 11 | 0.2 | 0.009 | |
Dermatochalasis | 110 | 0.4 | 2 | 0.0 | 0.000 | |
RETINA | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↑ | Venous Oclussions with Macular Edema | 373 | 1.5 | 280 | 5.1 | 0.000 |
Active, Exudative Age-Related Macular Degeneration | 1099 | 4.3 | 778 | 12.9 | 0.000 | |
Choroidal neovascularization | 156 | 0.6 | 100 | 1.9 | 0.000 | |
Proliferative Diabetic Retinopathy with Cystoid Macular Edema | 360 | 1.4 | 212 | 3.9 | 0.000 | |
↓ | Choroidal Scars | 148 | 0.6 | 13 | 0.2 | 0.002 |
Retinal Dystrophies | 252 | 1.0 | 18 | 0.3 | 0.000 | |
Diabetic Eye Exams | 1145 | 4.5 | 59 | 1.1 | 0.000 | |
Ocular Exam in Patients with Hemoglobinopathies | 22 | 0.1 | 0 | 0.0 | 0.023 | |
PEDIATRIC OPHTHALMOLOGY | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↓ | Esotropia | 321 | 1.3 | 13 | 0.2 | 0.000 |
Exotropia | 315 | 1.2 | 9 | 0.2 | 0.000 | |
Phorias | 51 | 0.2 | 1 | 0.0 | 0.004 | |
Ocular Exam in Patients with Chromosomal Abnormalities or Inborn Errors of Metabolism | 26 | 0.1 | 0 | 0.0 | 0.016 | |
UVEITIS | ||||||
TREND | DISEASE CATEGORY | PRE-COVID n % | POST-COVID n % | p value | ||
↑ | Primary Intraocular Lymphoma | 7 | 0.0 | 7 | 0.1 | 0.005 |
Vogt-Koyanagi-Harada Syndrome, Sympathetic Ophthalmia | 12 | 0.0 | 10 | 0.2 | 0.000 | |
Traumatic Iritis | 19 | 0.1 | 14 | 0.3 | 0.000 | |
Undifferentiated Intermediate Uveitis | 51 | 0.2 | 30 | 0.6 | 0.000 | |
↓ | Ocular Exam in Patients with HIV | 56 | 0.2 | 4 | 0.1 | 0.031 |