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BMC Ophthalmol . Daily activities change is linked to acute angle closure occurrence in COVID-19 co-infected patients

tetano

Editor, Senior Moderator
BMC Ophthalmol


. 2024 Dec 24;24(1):546.
doi: 10.1186/s12886-024-03769-z. Daily activities change is linked to acute angle closure occurrence in COVID-19 co-infected patients

Xiaojie Wang[SUP] 1 [/SUP], Aijun Tian[SUP] 2 [/SUP], Shaodan Zhang[SUP] 1 [/SUP], Bo Qu[SUP] 3 [/SUP], Lijun Zhao[SUP] 4 [/SUP], Xiaojing Pan[SUP] 5 [/SUP], Peng Lu[SUP] 6 [/SUP], Xinqi Chang[SUP] 7 [/SUP], Lu Yang[SUP] 8 [/SUP], Shaoping Ha[SUP] 9 [/SUP], Jibing Wang[SUP] 10 [/SUP], Jiangang Yang[SUP] 11 [/SUP], Xiaohui Wang[SUP] 12 [/SUP], Peng Yao[SUP] 13 [/SUP], Yuxia Yang[SUP] 14 [/SUP], Wenzong Zhou[SUP] 15 [/SUP], Zhaoyi Wang[SUP] 16 [/SUP], Juntao Zhang[SUP] 17 [/SUP], Chuanqi Lin[SUP] 18 [/SUP], Junhua Li[SUP] 1 [/SUP], Yanhua Jiang[SUP] 19 [/SUP], Zhongxia Cheng[SUP] 20 [/SUP], Zhixiang Ding[SUP] 21 [/SUP], Siying Xiong[SUP] 22 [/SUP], Cong Ye[SUP] 1 [/SUP], Houyu Zhao[SUP] 23 [/SUP], Nathan Congdon[SUP] 24 [/SUP], Yuanbo Liang[SUP] 25 [/SUP]



Affiliations
Abstract

Objectives: To analyze the influence of daily activity-related factors associated with COVID-19 infection on the occurrence of acute angle closure (AAC).
Methods: A multicenter hospital-based study was conducted at 23 ophthalmic centers in 17 provincial-level regions across China to recruit patients with confirmed AAC during the post-lockdown time of COVID-19 (P-TOC) from Dec 7, 2022, to Jan 17, 2023, and three lockdown time of COVID-19 (TOC) periods, which included the TOC-2022 (Sep 7, 2022 - Dec 6, 2022), TOC-2021(Sep 7, 2021 - Jan 6, 2022) and TOC-2020 (Sep 7, 2020 - Jan 6, 2021). Patient information, including demographic, a questionnaire on daily activity changes during the AAC period, COVID-19 history, and eye examination results, was collected.
Results: The study involved 3216 AAC cases, with 76.2% being female and 78.9% aged over 60 years. AAC occurrences during P-TOC was nearly tripled compared to the corresponding months in TOC-2021 and TOC-2020. Patients with AAC comorbidity and COVID-19 had significantly higher water intake (37.3% vs. 2.2%, p < 0.001) and poorer sleep quality (49.16% vs. 4.07%, p < 0.001) than those without COVID-19 comorbidity, while about 58.4% of these patients received antipyretic analgesic drugs for symptom management. The COVID-19 group showed higher intraocular pressure as well as worse uncorrected distance visual acuity, when compared to non-COVID-19 patients.
Conclusions: The relationship between AAC occurrence and daily activity factors associated with COVID-19 suggests that patient management should account for changes in daily activities.

Keywords: Acute angle closure; COVID-19; Daily activity.

 
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