Impact of the COVID-19 Lockdown on Ophthalmological Assistance in the Emergency Department at a Spanish Primary Level Hospital

Table 3

Diagnosis distribution of the less prevalent clusters.

Cluster	Primary diagnosis	Secondary diagnosis	Pre-COVID-19	Post-COVID-19	Change (%)
Cataract	Cataract		14	19	+35.7
	Posterior capsule opacification		33	48	+45.5
	Cataract surgery complications (other)	Postsurgical macular cystoid edema	2	2	0
		Postsurgical endophthalmitis	0	1	NC
		Rebound uveitis	12	4	−66.7
		Other surgical-related visits	6	4	−33.3
	Total		67	78	+16.4
Glaucoma	Glaucoma drugs side effects		14	5	−64.3
	High IOP detected in other settings		4	4	0
	Glaucoma surgery-related visit		2	5	+150
	Acute angle closure glaucoma		2	0	−100
	Others		5	3	−40
	Total		27	17	−37
Neuro-ophthalmology	Migraine and other headaches		18	18	0
	Optic neuropathies	NAOIN	3	1	−66.7
		Other optic neuropathies	0	2	NC
	Visual pathway lesions		2	0	−100
	Nonfiliated visual loss, ocular pain, and others		11	9	−18.2
	Total neurophthalmology		34	30	−11.8
Strabismus	Strabismus	Oculomotor palsy	8	3	−62.5
		Other strabismus	2	1	−50
	Total strabismus		10	4	−60
Uvetis	Uveitis	Anterior acute uveitis	21	21	0
		Intermediate uveitis	1	2	+100
		Posterior uveitis	0	2	NC
		Traumatic uveitis	5	2	−60
		Others	1	0	−100
		Total	8	27	−3.6
Miscellaneous	Nonpathological ocular examination		61	33	−45.9
	Refractive error		8	9	+12.5
	Leave without examination		14	6	−57.1
	Others		12	2	−83.3
			95	50	−47.4

NAION = nonarteritic optic ischemic neuropathy; NC = not calculable.