June 2021
Volume 62, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2021
Psychological impairment in neurophthalmologic patients before/during the COVID-19 pandemic-Comparative study with retina pacients
Author Affiliations & Notes
  • lucas Barasneviciusvicius quagliato
    Retina, Instituto Penido Burnier, Campinas, SP, Brazil
  • Elizabeth Barasnevicius Quagliato
    Neurology, Particular Clinic, Campinas, SP, Brazil
  • Pietro Dechichi
    Instituto Penido Burnier, Campinas, SP, Brazil
  • Valdez Melo Dos Anjos Filho
    Instituto Penido Burnier, Campinas, SP, Brazil
  • Thaisy Ventura Batistel
    Instituto Penido Burnier, Campinas, SP, Brazil
  • Millena de Arruda Sousa Pacheco
    Instituto Penido Burnier, Campinas, SP, Brazil
  • Gunther Albuquerque Beckedorff
    Instituto Penido Burnier, Campinas, SP, Brazil
  • Footnotes
    Commercial Relationships   lucas quagliato, None; Elizabeth Quagliato, None; Pietro Dechichi, None; Valdez Melo Dos Filho, None; Thaisy Batistel, None; Millena Pacheco, None; Gunther Beckedorff, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2021, Vol.62, 1981. doi:
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      lucas Barasneviciusvicius quagliato, Elizabeth Barasnevicius Quagliato, Pietro Dechichi, Valdez Melo Dos Anjos Filho, Thaisy Ventura Batistel, Millena de Arruda Sousa Pacheco, Gunther Albuquerque Beckedorff; Psychological impairment in neurophthalmologic patients before/during the COVID-19 pandemic-Comparative study with retina pacients. Invest. Ophthalmol. Vis. Sci. 2021;62(8):1981.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Assess the presence of anxiety, depression and stress in a group of patients with neuro-ophthalmic disorders, before and during COVID-19 pandemia and compare to a group of patients with retinopathies. Evaluate the relation between visual loss and symptoms intensity in both groups.

Methods : Cross-sectional study with a questionnaire evaluating the relation between psychological characteristics of neuro-ophth. and retinal diseases patients (Depression, Anxiety and Stress Scales-DASS-21) in 16 patients of each group. The neuro-ophthalmic patients were assessed before and during COVID-19 pandemia. The clinical data were collected by chart review and analyzed through the same application.

Results : Within the 16 neuro-ophthalmic patients (12 women/4 men), 10 presented optical neuritis, 4 NAION, 1 Ischemic Stroke and 1 Devic disease.The evaluation before COVID-19 pandemia showed 12 (75%) with depression, 13 (81%) with anxiety and 8 (50%) with stress.
During COVID-19 pandemia the results were the same in 12 patients, one patient presented less anxiety levels and 2 increased stress levels. One patient did not answer.
Within the 16 retinal disease patients (6 women/10 men), 7 presented Diabetic Retinopathy, 6 AMD, and 3 Retinal Detachment .Evaluation showed 12 (75%) with depression, 14 (87,5%) with anxiety and 8 (50%) with stress.
VISUAL ACUITY IN THE AFFECTED EYE AND PSYCHIC SYMPTOMS – NEURO OPTH. PACIENTS
100% of patients (3) with visual acuity(VA) <20/40 in the affected eye presented very severe depression, anxiety and stress.
77% (13) of patients with VA >20/40 in the affected eye 10(80%) presented mild to very severe symptoms.
RETINOPHATY GROUP
13 patients with VA <20/40 in the affected eye, 12(92,3%) presented mild to very severe symptoms.
3 patients with VA >20/40 in the affected eye, 2(66,6%) not presented any symptom and the other presented mild anxiety and depression.

Conclusions : 81.2% of neuro-ophthalmic patients presented symptoms of depression, anxiety and/or stress. There was no diferences between the scores before/during the COVID-19 pandemia in this group. Among the retinal disease patients 81,2% presented symptoms of depression, anxiety and/or stress, like neuro-ophthalmic patients. There is a correlation between low visual acuity and the presence of anxiety, stress and depression in both groups, more evident in neuro-phthalmological patients

This is a 2021 ARVO Annual Meeting abstract.

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