Impact of the COVID-19 Pandemic on Refractive Surgery

Bickford, Matthew W.; Rocha, Karolinne Maia

doi:10.1007/s40135-021-00280-2

Cited by 6 publications

(6 citation statements)

References 35 publications

(27 reference statements)

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“…15 Although this increase in the demand for refractive surgery was thought to be related to a transient spike caused by the accumulation of patients who were discouraged a visit during the pandemic, our results show that this increasing trend is persistent. 16 On the other hand, even though there are some speculations related to lifestyle, health, and financial factors to explain this increasing trend, to our knowledge, there is no study on this subject in the literature.…”

Section: Discussionmentioning

confidence: 99%

Perception of COVID-19 Pandemic in Refractive Laser Surgery Patients: Cross-Sectional Research

Uçar¹

2023

Turkiye Klinikleri J Ophthalmol

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Section: Discussionmentioning

confidence: 99%

Perception of COVID-19 Pandemic in Refractive Laser Surgery Patients: Cross-Sectional Research

Uçar¹

2023

Turkiye Klinikleri J Ophthalmol

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“…COVID-19-related drop in volume of eye surgical procedures were reported. [ 21 ] The pandemic has profoundly affected every social and medical field, even harmed the overall corneal transplant activity across Italy, with a reduction of nearly 60% as compared to the same period of 2019. [ 22 ] Previous studies also reported impact on the adherence to lipid-lowering medications and biologics and reported that about 30 to 40 percent of patients failed to refill these medications after the first outbreak of COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Adherence to visual field examination in glaucoma patients during the Coronavirus disease 2019 outbreak

Chang,

Wang,

Wang

et al. 2023

Medicine

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We described the proportion of adherence to the scheduled visual field (VF) examination and the associated factors in glaucoma patients in a tertiary referral center during the Coronavirus disease 2019 (COVID-19) outbreak in Taiwan. Patients with scheduled VF examinations during May 25th to July 12th, 2021, were retrospectively evaluated. Clinical characteristics including type of glaucoma, intraocular pressure (IOP) at the day of arranging VF examinations, prescriptions of anti-glaucoma medications, non-medical glaucoma treatment, length of glaucoma history, mean deviation (MD) of VF defect, and announcement of glaucoma progression were recorded. The associations between the adherence and the clinical factors were analyzed by univariate and multivariate logistic regression. There were 204 patients included, of which 37 patients (18.14%) adhered to VF examinations. A total of 161 patients (78.9%) were diagnosed with open-angle glaucoma (OAG), 27 patients (13.2%) with angle closure glaucoma, and 16 patients (7.8%) with glaucoma suspect. Most of the participants (41.2%) had mild VF defect and had been prescribed with no more than 1 bottle of anti-glaucoma medication. In the multivariate analysis, diagnosis of glaucoma suspect (P = .02) and history of SLT (P = .04) were significantly associated with better adherence. Glaucoma severity and the announcement of glaucoma progression were not significantly associated with adherence to VF examination. The COVID-19 pandemic had greatly influenced the adherence to VF examination in glaucoma patients. This study demonstrated that patients with the diagnosis of glaucoma suspect and history of SLT were more likely to adhere to VF examinations even during the COVID-19 pandemic.

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“…The travel restrictions, financial constraints, and psychosocial aspects during the lockdown phases of the COVID pandemic had impacted the volume of many of the elective surgeries, including refractive surgeries, and the delay in presentation and frequency of follow-up visits. [ 19 20 ] This, in turn, could have a bearing on the management and final surgical and visual outcomes.…”

Section: Discussionmentioning

confidence: 99%

Surgical and visual outcomes of flap repositioning for various flap-related pathologies post laser in-situ keratomileusis (LASIK)

Dvivedi,

Murthy,

Akkulugari

et al. 2023

Indian Journal of Ophthalmology

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To evaluate the surgical and visual outcomes of flap repositioning for various post-laser-assisted in-situ keratomileusis (LASIK) flap pathologies. Retrospective review of consecutive cases between April 1, 2017 and February 28, 2022, where surgical flap repositioning was performed following LASIK for various flap-related complications. Of the 6018 eyes, 31 needed flap repositioning (0.51%). Indications were flap displacement and folds in 20 eyes (64%), flap subluxation in five eyes (16%), epithelial ingrowth and interface debris in two each, and one eye each of diffuse lamellar keratitis and incomplete flap. Final best spectacle-corrected visual acuity of ≥ 20/25 was obtained in 25/31 (80%) eyes. The efficacy index pre to post repositioning showed significant improvement (0.86 ± 0.39 vs. 0.63 ± 0.29 preop, P = 0.011). Flap repositioning incidence was significantly higher (7/602 (1.16%)) during the COVID lockdown phases compared to the non-COVID lockdown phase (24/5416 (0.44%, P = 0.019)). The COVID group had lower efficacy (0.72 ± 0.36 vs. 0.90 ± 0.39, P = 0.300) and safety indices (0.85 ± 0.24 vs. 1.06 ± 0.35, P = 0.144) compared to the non-COVID group; however, the results were not statistically significant. The flap displacement rate was statistically higher in nasal hinged (microkeratome) flaps (18/2013, 0.89%) compared to superior hinged (Femto) flaps (13/4005, 0.32%) (0.32%, P = 0.003). Our study shows that flap repositioning has a low incidence in LASIK, with the most common indication being flap displacement/folds. The outcome post flap repositioning was poorer during the lockdown period, perhaps due to the inability to follow up early. Early identification and surgical repositioning are successful in both anatomical and visual restoration.

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Impact of the COVID-19 Pandemic on Refractive Surgery

Cited by 6 publications

References 35 publications

Perception of COVID-19 Pandemic in Refractive Laser Surgery Patients: Cross-Sectional Research

Perception of COVID-19 Pandemic in Refractive Laser Surgery Patients: Cross-Sectional Research

Adherence to visual field examination in glaucoma patients during the Coronavirus disease 2019 outbreak

Surgical and visual outcomes of flap repositioning for various flap-related pathologies post laser in-situ keratomileusis (LASIK)

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