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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