To assess the perception of Latin American ophthalmology practitioners regarding coronavirus disease 2019 (COVID-19) exposure risk, knowledge about personal protection measures, and prioritization of patients. Methods: Self-administered voluntary anonymous survey (Google Drive forms) was distributed via text message to ophthalmology practitioners from May 01 to May 05, 2020. Results: Three hundred seventy-one practitioners (45% response rate) comprising 118 (27.6%) residents, 111 (40.5%) ophthalmologists, and 142 (32.8%) sub-specialists completed the survey. Among them, 106 (32.6%) thought that they were at a high risk of acquiring COVID-19 during the course of work. Furthermore, 273 (69.1%) believed that the current guidelines were insufficient to identify COVID-19 patients. The survey also revealed that 265 (59.5%) were not trained to use personal protective equipment (PPE), and even with its correct use, 341 (91.5%) still felt that they were at risk of acquiring COVID-19. Moreover, 80% of the respondents were of the view that staff members were not knowledgeable about national protocols for attending COVID-19 patients. However, only 9 (2%) considered changing their profession to ameliorate COVID-19 contagion risk. Conclusion: This survey has revealed the issues faced by ophthalmology practitioners in Latin America during their routine practice. These concerns and anxiety about COVID-19 pandemic seem to be the same worldwide. It is important to reinforce the confidence of ophthalmology practitioners on current guidelines for attending COVID-19 patients. It is also necessary to conduct training programs on PPE usage and ensure that PPE items are available at all times to enhance the quality of care and minimize the spread of the disease.
El resultado visual funcional posterior a una cirugía de catarata es influenciado por varios factores como la edad del diagnóstico, el tratamiento quirúrgico y la rehabilitación visual. Objetivo: Describir las características demográficas y clínicas de pacientes con catarata congénita y conocer el resultado visual postoperatorio en un centro de atención oftalmológico en Guatemala. Pacientes y Método: Estudio transversal y retrospectivo. Se revisaron expedientes clínicos de todos los pacientes operados de catarata congénita en los años 2014 y 2015. Se registró la agudeza visual posoperatoria, edad del diagnóstico y cirugía, sexo, lateralidad, etiología y morfología de la catarata, factores de mal pronóstico visual preoperatorios y seguimiento posoperatorio. Resultados: Cincuenta y nueve pacientes fueron operados de catarata pediátrica en este período, con edades entre 1 mes a 13 años (mediana 48 meses) siendo 23 de etiología congénita (38.98%) incluidos para este estudio. De estos, 14 eran de sexo masculino, 16 bilaterales, la edad mediana del diagnóstico y de cirugía fue de 7 y 12 meses respectivamente. Sólo 13 pacientes cumplieron seguimiento postoperatorio a los 3 años. Se logró cuantificar la agudeza visual a los 3 años postoperatorios en 11 pacientes y 8 obtuvieron una clasificación de impedimento visual o peor. El 82.6% fueron consultas tardías (mayores a 3 meses de edad). Conclusiones: El diagnóstico de catarata congénita y su tratamiento quirúrgico fueron tardíos en esta serie. El abandono del seguimiento posoperatorio es alto. El resultado visual a los 3 años postoperatorios en su mayoría es de impedimento visual o peor.
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