Delayed presentation and increased prevalence of proliferative vitreoretinopathy for primary rhegmatogenous retinal detachments presenting during the COVID-19 pandemic lockdown

Awad, Mohannad A.; Poostchi, Ali; Orr, Gavin; Kumudhan, Dharmalingam; Zaman, Anwar; Wilde, Craig

doi:10.1038/s41433-020-1056-0

Cited by 29 publications

(48 citation statements)

References 5 publications

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“…Contrary to other reports from the United Kingdom and North America 11 , 12 , 13 , 14 , 16 citing a significant reduction in the total volume of RDs seen over a 3- to 5-month period from the onset of the pandemic, we continued to treat a high volume of patients for the 6 months after March 14, 2020 ( Fig. 1 ).…”

Section: Discussionmentioning

confidence: 72%

“… 9 , 10 Small studies from the United Kingdom and North America have reported lower numbers of RD presentations within 1 to 3 months of the COVID-19 pandemic. 11 , 12 , 13 , 14 Although not statistically significant, previous authors have reported a reduced percentage of macula-on detachments, and a higher incidence of proliferative vitreoretinopathy (PVR) after the onset of the pandemic.…”

mentioning

confidence: 83%

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Impact of the COVID-19 pandemic on characteristics of retinal detachments: the Canadian experience

Arjmand

Murtaza

Eshtiaghi

et al. 2021

Canadian Journal of Ophthalmology

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Section: Discussionmentioning

confidence: 72%

mentioning

confidence: 83%

Impact of the COVID-19 pandemic on characteristics of retinal detachments: the Canadian experience

Arjmand

Murtaza

Eshtiaghi

et al. 2021

Canadian Journal of Ophthalmology

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“…The effects of COVID-19 on the presentation of VR pathologies have discussed in recent publications. 3,4 Poyser et al 4 showed a higher proportion of RRD presenting with macula off status and Awad et al 3 reported a significant increase in proliferative vitreoretinopathy RRD following COVID-19. To the best of our knowledge, this is the first study to investigate the effect of COVID-19 compared to pre-COVID-19 period on the clinical presentation of the retinal tears and overall outcome of retinopexies Despite the proportion of treatment episodes of retinopexy each patient had remained the same between both groups, our study showed a significant increase in RRD rate following primary retinopexy in Group 2.…”

Section: Discussionmentioning

confidence: 99%

“…The impact of COVID-19 on primary retinopexy in preventing retinal detachment in a tertiary eye hospital emergency department COVID-19 period. 3,4 An example is a report by Wickham et al 5 that has shown a marked decrease in presentation of retinal detachments to Moorfields Eye Hospital.…”

Section: Introductionmentioning

confidence: 99%

The impact of COVID-19 on primary retinopexy in preventing retinal detachment in a tertiary eye hospital emergency department

Moussa

Samia-Aly

Andreatta

et al. 2021

European Journal of Ophthalmology

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Purpose: To review the effect of COVID-19 on rhegmatogenous retinal detachment (RRD) rate following primary retinopexy. Methods: Retrospective consecutive case series of 183 patients attending Birmingham and Midlands Eye Centre undergoing primary retinopexy (cryotherapy and laser) between March 23rd to June 30th in 2019 (Group 1) and 2020 (Group 2). Results: In total we reviewed 183 retinopexies, 122 in Group 1 and 61 in Group 2, a reduction of 50%. In Group 2 compared to Group 1, we showed a significant difference in characteristics of patients having primary retinopexy with an increase in proportion of male patients from 50 (41.0%) to 39 (63.9%) ( p = 0.005), increase in high myopes from 1 (0.8%) to 4 (6.6%) ( p = 0.043), more slit lamp laser retinopexy from 83 (68.0%) to 52 (85.2%) ( p = 0.013) and less cryopexy from 21 (17.2%) to 2 (3.3%) ( p = 0.008). In Group 2, primary retinopexy resulted in significantly more 3-month RRD rate 1 (0.8%) to 5 (8.2%) ( p = 0.016). There were no changes in number of patients requiring further retinopexy ( p = 1.000) Conclusion: This study demonstrates a reduction of primary retinopexy, an increased risk for RRD following primary retinopexy and a significant shift in type of primary retinopexy performed, demographics, operator and change in characteristics of type of retinal break observed during this pandemic. This study contributes to the growing literature of the secondary effects of the COVID-19 pandemic on other aspects of healthcare that is not just limited to the virus itself.

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“…The COVID-19 pandemic poses specific challenges to ophthalmology service delivery with social distancing, frequent changes in restrictions, isolation and quarantine periods and patient anxieties around contracting coronavirus affecting both acute and routine patient care. The effects of delayed acute presentations have already been widely reported with the impact on chronic conditions beginning to emerge [ 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Acceptability of Telegenetics for Families with Genetic Eye Diseases

Bell

Karamchandani

Malcolmson

et al. 2021

Genes

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Healthcare providers around the world have implemented remote routine consultations to minimise disruption during the COVID-19 pandemic. Virtual clinics are particularly suitable for patients with genetic eye diseases as they rely on detailed histories with genetic counselling. During April–June 2019, the opinion of carers of children with inherited eye disorders attending the ocular genetics service at Moorfields Eye Hospital NHS Foundation Trust (MEH) were canvassed. Sixty-five percent of families (n = 35/54) preferred to have investigations carried out locally rather than travel to MEH, with 64% opting for a virtual consultation to interpret the results. The most popular mode of remote contact was via telephone (14/31), with video call being least preferred (8/31). Hence, 54 families who had received a telephone consultation mid-pandemic (November 2020–January 2021) were contacted to re-evaluate the acceptability of telegenetics using the Clinical Genetics Satisfaction Indicator and Telemedicine Satisfaction Questionnaire. Overall, 50 carers participated (response rate 93%); 58% of participants found teleconsultations acceptable and 54% agreed they increased their access to care, but 67.5% preferred to be seen in person. Patient satisfaction was high with 90% strongly agreeing/agreeing they shared and received all necessary information. Ocular genetics is well-suited for remote service delivery, ideally alternated with face-to-face consultations.

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Delayed presentation and increased prevalence of proliferative vitreoretinopathy for primary rhegmatogenous retinal detachments presenting during the COVID-19 pandemic lockdown

Cited by 29 publications

References 5 publications

Impact of the COVID-19 pandemic on characteristics of retinal detachments: the Canadian experience

Impact of the COVID-19 pandemic on characteristics of retinal detachments: the Canadian experience

The impact of COVID-19 on primary retinopexy in preventing retinal detachment in a tertiary eye hospital emergency department

Acceptability of Telegenetics for Families with Genetic Eye Diseases

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