IMPACT OF COVID19 PANDEMIC ON VISUAL FIELD LOSS IN GLAUCOMA PATIENTS WITH IRREGULAR FOLLOW-UP AND MEDICATION ADHERENCE AT A TERTIARY EYE CARE CENTRE IN EASTERN INDIA
Dr. Soumi Bala*, Dr. Soumi Mallick and Dr. Nazarul M. Islam
ABSTRACT
Background: The perpetual treatment in glaucoma patients had been hindered due to interrupted lockdowns due to COVID 19 pandemic. Purpose: To analyse difficulties faced by the glaucoma patients for regular follow-up along with medication adherence & the visual field loss thereafter. Methods: No. of patients:32 Age:18-75 yrs. Medications: Regular antiglaucoma drugs Examined with: Automated Perimetry, Goldmann Applanation Tonometry, Slit Lamp Bio-microscopy (90D lens) Patients were interviewed with questionnaire. Correlation between VFI, IOP and VCDR before & after irregular visits were also measured with ANOVA Test. Result: Mean(±SD) age: 53.218 (±11.95) Male: Female ratio: 3:2 Non-adherent to medications:55 % Significant visual field loss (as per VFI): 78.13%(p=0.28) Raised IOP: 81.25%(p=0.01) Higher VCDR than before: 59.38%(p=0.11) Conclusion: Decentralization of Glaucoma Care Units to Primary Health System, free medications and Tele- Ophthalmology may help glaucoma patients at the remotest corner.
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