{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T03:20:08Z","timestamp":1783653608678,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T00:00:00Z","timestamp":1637625600000},"content-version":"vor","delay-in-days":326,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>\n                    <jats:italic>Purpose<\/jats:italic>\n                    . To analyze the changes in ophthalmological emergencies during the COVID\u201019 pandemic lockdown at a Spanish primary level hospital.\n                    <jats:italic>Methods<\/jats:italic>\n                    . The number and type of emergencies attended in the emergency department of Hospital Universitario del Henares between March 10 and August 31, 2020 (COVID\u201019 cohort) were compared with the emergencies attended during the same period of 2019 (pre\u2010COVID\u201019 cohort). Data on the diagnosis, patient age, and gender was retrospectively collected from the electronic medical records of the hospital. The different diagnoses were organized into \u201cclusters,\u201d which include those conditions that affect the same ocular tissue and that have similar clinical expression.\n                    <jats:italic>Results<\/jats:italic>\n                    . The number of ophthalmological emergencies during the study period was 841, compared to 1343 during the same month of 2019, which represents a reduction of 37.4%. The percentage reduction in each cluster was as follows: conjunctiva (\u221265.4%), cornea (\u221235.8%), uveitis (\u22123.6%), eyelid and orbital and lacrimal (\u221235.5%), strabismus (\u221260%), neuro\u2010ophthalmology (\u221211.8%), retina (\u221210.6%), cataract (+16.4%), glaucoma (\u221237%), and miscellaneous (\u221245.1%). The number of people seen with viral conjunctivitis decreased by \u221287.1% compared to 2019. Patients with complications due to conjunctivitis also decreased: patients with pseudomembranes dropped from 16 to 4 cases and patients with corneal subepithelial infiltrates from 9 to 3 cases.\n                    <jats:italic>Conclusions<\/jats:italic>\n                    . Most diagnostic clusters showed a similar decrease. Clusters that included vision\u2010threating conditions (retina, neuro\u2010ophthalmology, and uveitis) remained mostly stable. During the COVID\u201019 lockdown, the diagnosis of adenoviral conjunctivitis decreased nearly 10 times. This fact may represent a decrease in the transmission of these infections.\n                  <\/jats:p>","DOI":"10.1155\/2021\/8023361","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T22:20:08Z","timestamp":1637706008000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of the COVID\u201019 Lockdown on Ophthalmological Assistance in the Emergency Department at a Spanish Primary Level Hospital"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8056-2630","authenticated-orcid":false,"given":"Julio","family":"Gonz\u00e1lez-Mart\u00edn-Moro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Guzm\u00e1n-Almagro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Izquierdo Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Fern\u00e1ndez Hortelano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inmaculada","family":"Lozano Escobar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"G\u00f3mez Sanz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3524-9335","authenticated-orcid":false,"given":"In\u00e9s","family":"Contreras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,23]]},"reference":[{"key":"e_1_2_7_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-020-01592-1"},{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajoc.2020.100917"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ico.0000000000002556"},{"key":"e_1_2_7_4_2","article-title":"Papillophlebitis in a COVID-19 patient: inflammation and hypercoagulable state","author":"Insausti-Garc\u00eda A.","year":"2020","journal-title":"European Journal of Ophthalmology"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/4827304"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-020-04916-0"},{"key":"e_1_2_7_7_2","volume-title":"Ophthalmic Manifestations of Coronavirus (COVID-19)","author":"Hu K.","year":"2020"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2020.1291"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120672120974944"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.14489"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.21873\/invivo.12137"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/ijg.0000000000001642"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0000000000002941"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-1056-0"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30970-3"},{"key":"e_1_2_7_16_2","first-page":"467","article-title":"Has there been a more rational use of the ophthalmic emergency services in the face of the COVID-19 pandemic?","volume":"95","author":"Garc\u00eda Lorente M.","year":"2020","journal-title":"Archivos de la Sociedad Espanola de Oftalmologia"},{"key":"e_1_2_7_17_2","article-title":"Impact of the COVID-19 pandemic on ophthalmic emergency services in a tertiary hospital in Spain","author":"Garc\u00eda Lorente M.","year":"2020","journal-title":"European Journal of Ophthalmology"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120672120960339"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0000282"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.2352"},{"key":"e_1_2_7_21_2","volume-title":"Review of Ophthalmology","author":"Friedman N. 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