The impact of the COVID-19 Pandemic on rhegmatogenous retinal detachment treatment patterns

Li, Jipeng; Zhao, Meng; She, Haicheng

doi:10.1186/s12886-021-02127-7

Cited by 4 publications

(7 citation statements)

References 49 publications

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“…This study indicates that the proportion of scleral buckling (SB) was the highest at the beginning of the pandemic (42.9% in epidemic 1). This observation contradicts a previous report that surgeons encountered more complicated cases and preferred PPV over SB during the COVID-19 pandemic [ 21 ]. Although our results may be coincidental given the small sample size, the increased rate of SB might be attributed to a decrease in the average age of patients with RRD visiting our hospital.…”

Section: Discussioncontrasting

confidence: 99%

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Impact of local COVID-19 alert levels on rhegmatogenous retinal detachment

et al. 2023

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Purpose To investigate the impact of the local alert levels regarding coronavirus disease 2019 (COVID-19) on the clinical patterns of rhegmatogenous retinal detachment (RRD) in Japan. Study design Retrospective, single-center, consecutive case series. Methods We compared two groups of RRD patients, a COVID-19 pandemic group and a control group. Based on the local alert levels in Nagano, five periods during the COVID-19 pandemic were further analyzed: epidemic 1 (state of emergency), inter-epidemic 1, epidemic 2 (second epidemic duration), inter-epidemic 2, and epidemic 3 (third epidemic duration). Patients’ characteristics, including symptoms’ duration before visiting our hospital, macula status, and retinal detachment (RD) recurrence rate in each period, were compared with those in a control group. Results There were 78 patients in the pandemic group and 208 in the control group. The pandemic group had a longer duration of symptoms than the control group (12.0 ± 13.5 days vs. 8.9 ± 14.7 days, P = 0.0045). During the epidemic 1 period, patients had a higher rate of macula-off RRD (71.4% vs. 48.6%) and RD recurrence (28.6% vs. 4.8%) than the control group. This period also demonstrated the highest rates compared to all other periods in the pandemic group. Conclusion During the COVID-19 pandemic, RRD patients significantly delayed visiting a surgical facility. They showed a higher rate of macula-off and recurrence compared to the control group during the state of emergency than during other periods of the COVID-19 pandemic, although the difference was not statistically significant due to the small sample size. Supplementary Information The online version contains supplementary material available at 10.1007/s10384-023-00980-1.

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Section: Discussioncontrasting

confidence: 99%

“…Our study confirms a significant delay by patients with RRD in presenting to hospitals among the COVID-19 pandemic group, as also reported in previous studies [ 16 , 21 ]. This delay may have been due to anxiety about exposure to the COVID-19 virus in a healthcare environment.…”

Section: Discussionsupporting

confidence: 92%

Impact of local COVID-19 alert levels on rhegmatogenous retinal detachment

et al. 2023

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“…1 Although emergent care was permitted for rhegmatogenous retinal detachment (RRD), single-institution-based studies comparing historical experiences to the 2020 COVID-19 lockdown period found patients delayed seeking care, had higher incidences of macula-off detachment and baseline proliferative vitreoretinopathy (PVR), and worse best-correct visual acuity (BCVA) at initial presentation. 2 , 3 , 4 However, multicenter studies analyzing the change in practice patterns and longitudinal outcomes during the COVID-19 lockdown (‘during-lockdown’) and the period immediately after (‘post-lockdown’) remain lacking.…”

mentioning

confidence: 99%

Impact of Coronavirus Disease 2019 Restrictions on Retinal Detachment: A Multicenter Experience

Jung

Chang

Oellers

et al. 2022

Ophthalmology Retina

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In this retrospective multicenter study of 261 eyes (259), patients who underwent rhegmatogenous retinal detachment repair during the coronavirus disease 2019 (COVID-19) post-lockdown period experienced an additional 22-day delay leading to significantly more epiretinal membrane, proliferative vitreoretinopathy and lower single surgery anatomic success. During lockdown, perfluoropropane (C3F8) gas was utilized more commonly; and pneumatic retinopexy was used more commonly in COVID-19-positive patients.

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“…The geographical distribution of the fellowship programs is shown in Figure 1 and Table S2 (Supporting Information 1), and the fellowship experiences are also shown in Table 1. The median (IQR) duration of fellowship training was 15 months (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Basic Demographicsmentioning

confidence: 99%

“…[14][15][16][17][18] Few studies have discussed surgical decision changes. 16,19,20 Li et al 19 observed an increase in the proportion of PPV conducted in Beijing, China, and attributed it to the more complicated cases (e.g., RRD with choroidal detachment) presented. In contrast, Mundae et al 16 observed an increase in SB in Minneapolis-Saint Paul, USA.…”

Section: Introductionmentioning

confidence: 99%

COVID‐19 reduced scleral buckling training in fellows and shifted young ophthalmologists' preference toward vitrectomy: An Asia‐Pacific survey

Wu,

Fung,

Dave

et al. 2023

Clinical Exper Ophthalmology

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BackgroundTo assess rhegmatogenous retinal detachment (RRD) surgery trends and training among young ophthalmologists (YOs, vitreoretinal fellows or attendings/consultants with ≤10 years of independent practice) and the impact of the COVID‐19 pandemic.MethodsAn anonymous online survey was completed by 117 YOs in the Asia‐Pacific regarding their RRD surgery experiences in 2021–2022.ResultsTo achieve a 90% probability of surgical competency, 91 vitrectomy and 34 scleral buckling (SB) completions during fellowship were needed. In total, 49 (41.9%) YOs had fellowship affected by COVID‐19. In the COVID versus pre‐COVID era, however, the volume of SB completions per fellowship year decreased significantly (median [IQR] 3.3 [1.5, 9] vs. 13 [6.5, 23]; p < 0.001) and was lower than the required volume to achieve competency. YOs were less confident in conducting SB versus vitrectomy (3.5 ± 1.1 vs. 4.2 ± 0.8, p < 0.001), and they reported a decrease in the proportion of SB (−3.1%, p = 0.047) and an increase in the proportion of vitrectomy (+4.8%, p < 0.001) after the pandemic outbreak. Apart from RRD clinical characteristics, surgical confidence is among the main factors that affect surgical method decisions. During the pandemic, more YOs may have avoided SB due to the need for general anaesthesia, leading to longer surgical time and risk of viral transmission during intubation/extubation.ConclusionsSB surgical exposure is suboptimal in most fellowship programs in the 11 Asia‐Pacific countries/regions we surveyed and further declined during the COVID‐19 pandemic. YOs are less confident in performing SB, leading to a trend toward primary vitrectomy since the COVID‐19 outbreak.

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The impact of the COVID-19 Pandemic on rhegmatogenous retinal detachment treatment patterns

Cited by 4 publications

References 49 publications

Impact of local COVID-19 alert levels on rhegmatogenous retinal detachment

Impact of local COVID-19 alert levels on rhegmatogenous retinal detachment

Impact of Coronavirus Disease 2019 Restrictions on Retinal Detachment: A Multicenter Experience

COVID‐19 reduced scleral buckling training in fellows and shifted young ophthalmologists' preference toward vitrectomy: An Asia‐Pacific survey

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