International Medical Case Reports Journal (Oct 2020)

COVID-19 Lockdown and Eye Injury: A Case Series from Jordan

  • Alqudah AA,
  • Al Dwairi RA,
  • Alqudah NM,
  • Abumurad SK

Journal volume & issue
Vol. Volume 13
pp. 493 – 501

Abstract

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Asem A Alqudah,1 Rami A Al Dwairi,1 Noor M Alqudah,1 Sumayyah K Abumurad2 1Ophthalmology Service, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology (JUST), Irbid, Jordan; 2Department of Neurology, The University of Chicago Medicine, Chicago, IL, USACorrespondence: Asem A AlqudahOphthalmology Service, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology (JUST), P.O. Box 3030, Irbid 22110, JordanTel +962795458496Fax +962-27095010Email [email protected]: Novel coronavirus or COVID-19 is a viral illness that can cause severe respiratory symptoms. It spreads between people through direct, indirect (through contaminated objects or surfaces), or close contact with infected people via mouth and nose secretions. COVID-19 has caused a worldwide pandemic that necessitated many countries to perform a national lockdown. In Jordan, a complete lockdown was imposed by the government on March 17th, 2020 and continued for more than two months. The lockdown included every single sector in the country. Hospitals were only dealing with outpatient emergency cases, urgent referrals from primary or secondary health institutions and with inpatients whose medical conditions required keeping them admitted. Elective clinics and surgeries were canceled. At the King Abdullah University Hospital (KAUH), which is the only tertiary center in northern Jordan, we dealt with four cases of traumatic eye injury that resulted in a ruptured globe. The four cases were for eyes that had a history of penetrating keratoplasty (PK) and were visually compromised in the involved eye compared to the other eye. The percentage of open globe injuries to the total number of emergency cases presented during the lockdown was significantly higher than the percentage of open globe injuries to the total number of emergency cases presented during the corresponding period in the previous year (p=0.0005). We believe the lockdown inside homes has resulted in higher risk of trauma and rupture globe in this group of patients.Keywords: COVID-19, lockdown, eye injury, PK

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