Patient ignorance is the main reason for treatment delay in primary rhegmatogenous retinal detachment in The Netherlands

Goezinne, Fleur; Heij, Ellen C. La; Berendschot, Tos T. J. M.; Tahzib, Nayyirih G.; Koetsier, L S; Hoevenaars, Juliette G. M. M.; Liem, Albert T.A.; Kijlstra, Aize; Webers, Carroll A.B.; Hendrikse, Fred

doi:10.1038/eye.2008.272

Cited by 24 publications

(17 citation statements)

References 19 publications

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“…Die durchschnittliche Symptomdauer bis zur Vorstellung in der Klink war in der vorliegenden Untersuchung geringer als in der Literatur beschrieben [11,20,21]. Ein Vergleich mit Gesundheitssystemen, in denen der Hausarzt als Gatekeeper vor einem Facharztbesuch fungiert, ist jedoch nur bedingt aussagekräftig.…”

Section: Diskussionunclassified

Amotio-retinae-Versorgung während der Corona-Pandemie

2020

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Amotio-retinae-Versorgung während der Corona-Pandemie Suchten Patienten mit Netzhautablösung während der Corona-Pandemie später den Augenarzt auf? Ergebnisse aus einer deutschen Universitätsaugenklinik Eine Netzhautablösung stellt einen ophthalmologischen Notfall dar. Eine Verzögerung der Diagnose oder Therapie kann die Visusprognose reduzieren. Aus aktuellen Presseberichten geht hervor, dass Notfallpatienten beispielsweise mit Myokardinfarkt oder Apoplex aus Angst vor einer Ansteckung mit dem Coronavirus erst deutlich verspätet einen Arzt aufsuchen und somit die Diagnose und Therapie verschleppen. Die vorliegende Arbeit untersucht, ob die Corona-Pandemie Auswirkung auf die Versorgung und den präoperativen Visus von Patienten mit Netzhautablösung hatte.

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Section: Diskussionunclassified

Amotio-retinae-Versorgung während der Corona-Pandemie

2020

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“…If untreated, most RRD will progress to a complete detachment and subsequently result in vision loss of the affected eye. 23 The risk factors for low functional and anatomic outcomes after primary RRD repair are as follows: more than 6 days of visual loss, macular involvement and the size of detachment area, and independency from surgical procedures (buckling or vitrectomy) chosen to repair the detachment. [24][25][26] As all these factors are dependent on the time interval between the first symptoms noted by the patient and the timing of surgery, a delay in providing the surgical treatments for retinal diseases (expected from 50% to 90% of all kind of procedures, Table 1) maybe produce dramatic consequences on disability due to irreversible blindness.…”

Section: Discussionmentioning

confidence: 99%

Early impact of COVID-19 outbreak on eye care: Insights from EUROCOVCAT group

Toro

Brézin

Burdon

et al. 2020

European Journal of Ophthalmology

101

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The recent outbreak of coronavirus disease 2019 (COVID-19) has been declared a public health emergency worldwide. The scientific community has put in much effort and published studies that described COVID-19’s biology, transmission, clinical diagnosis, candidate therapeutics, and vaccines. However, to date, only a few data are available on the impact of COVID-19 pandemic on ophthalmological care in different health care systems, its future consequences in terms of disability, and access to sight-saving cures for many patients. To reduce human-to-human transmission of the virus and also ensure supply of infrastructures, human resources, and disposable medical devices to many regions, it is crucial to assess risks and postpone non-essential outpatient visits and elective surgical procedures, especially in older patients and those with comorbidities. This delay or suspension in essential eye procedures may cause significant and rapid vision impairment to irreversible blindness. Determining the risk-benefit profile of treating these ocular pathologies is a public health issue of supreme priority, even though many patients benefiting from therapeutic treatments are elderly, who are more vulnerable to COVID-19. If not reversible, this process could lead to a dramatic increase in disability and unsustainable social costs for many Governments.

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“…The relationship between duration of visual field loss and progression may be explained by symptomatic patients who may be more inclined to seek medical attention than patients whose detachments are progressing slowly, resulting in minimal or no symptoms. 29 The increased risk of progression in case of a larger baseline RDefovea distance and smaller extent of RD both may be explained by a weaker retinal adhesion in the periphery, allowing faster progression. When creating an RD for macular rotation or RPE graft, it is a common observation among surgeons that the peripheral retina detaches much more easily then the posterior retina, suggesting a difference in adhesion.…”

Section: Discussionmentioning

confidence: 99%