June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Impact of COVID-19 on Glaucoma Patients' Perception of Care
Author Affiliations & Notes
  • Justin K Tram
    Department of Ophthalmology, Lions Eye Institute, Albany Medical College, Albany, New York, United States
  • Kathryn Lee
    Department of Ophthalmology, Lions Eye Institute, Albany Medical College, Albany, New York, United States
  • Jennifer Bu
    University of California at San Diego Department of Ophthalmology at the Shiley Eye Institute, La Jolla, California, United States
  • Sai Gandham
    Department of Ophthalmology, Lions Eye Institute, Albany Medical College, Albany, New York, United States
  • Footnotes
    Commercial Relationships   Justin Tram None; Kathryn Lee None; Jennifer Bu None; Sai Gandham None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 1713 – F0031. doi:
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    • Get Citation

      Justin K Tram, Kathryn Lee, Jennifer Bu, Sai Gandham; Impact of COVID-19 on Glaucoma Patients' Perception of Care. Invest. Ophthalmol. Vis. Sci. 2022;63(7):1713 – F0031.

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

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Abstract

Purpose : The COVID-19 lockdown resulted in appointment cancellations that affected the medical management and visual health of glaucoma patients. This study aimed to examine COVID-related factors leading to decreased patient perception of visual health. We surveyed glaucoma patients to examine the impact of COVID-related office changes on perceived visual health and level of concern with care.

Methods : 65 patients presenting to an Albany outpatient glaucoma practice in June 2021 were orally surveyed prior to appointment. Survey consisted of Y/N questions and Likert Scale responses examining patients’ perception of care and concern over condition management during the March 2020 lockdown period. Likert responses from 1 to 5 regarding difficulty scheduling appointments, knowledge of COVID-19, level of concern regarding condition management, and patient reported vision-related quality of life (VRQOL) were used to gauge perceived visual health and level of concern with care. Patients were grouped into one of two cohorts based on whether they reported an institutional appointment cancellation during lockdown, and Mann-Whitney U and Spearman Correlation analysis were used for statistical analysis of cohorts.

Results : Patients with appointment cancellations during lockdown reported significantly greater concern regarding condition management and impacted VRQOL (p<0.05). On a Likert scale up to 5, the level of concern regarding VRQOL in the noncancellation group was lower (1.2 ± 0.4) compared to the cancellation group (1.8 ± 1.0). Concern regarding condition management was also lower in the noncancellation group (1.7 ± 0.6) versus the cancellation group (3.0 ± 1.1). There was no significant difference in how informed the two groups felt about COVID-19. Correlation analysis confirmed these trends and showed that increased perceived ease of obtaining appointments was positively correlated with increased patient perception of visual health, represented by impact on VRQOL.

Conclusions : This study demonstrates that COVID-related appointment cancellations caused patient concerns over care to grow and perception of visual health to decrease. Patient-reported visual health and VRQOL may be directly related to the ease of obtaining appointments and maintaining communication with their ophthalmologist, in addition to the medical management of their condition.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

 

Figure 1: Level of Concern regarding VRQOL and Condition Management

Figure 1: Level of Concern regarding VRQOL and Condition Management

 

Table 1: Average Values

Table 1: Average Values

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