Rationale for American Society of Retina Specialists Best Practice Recommendations for Conducting Vitreoretinal Surgery during the COVID-19 Era.
Rationale for American Society of Retina Specialists Best Practice Recommendations for Conducting Vitreoretinal Surgery during the COVID-19 Era.
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DOI：
10.1177/2474126420941707
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发表时间：
2020-10-01
期刊：
影响因子：
--
通讯作者：
Murray T
中科院分区：
文献类型：
--
作者：
Chao DL;Sridhar J;Kuriyan AE;Leng T;Barnett BP;Carlin AF;Wykoff CC;Gayer S;Mruthyunjaya P;Yonekawa Y;Fawzi AA;Berrocal AM;Yeh S;Ting D;Modi Y;Zacks DN;Yannuzzi N;Afshari NA;Murray T
详细介绍美国视网膜专家协会（ASRS）最近发表的建议背后的理由，概述了在冠状病毒病(COVID)-19大流行期间进行玻璃体视网膜手术时玻璃体视网膜外科医生和工作人员安全的最佳做法。2019冠状病毒病大流行期间视网膜手术最佳实践委员会审查了关于SARS-CoV-2传播的现有证据和信息以及玻璃体视网膜手术期间的危险因素。这些建议是基于现有的最佳公开数据、累积的临床经验以及其他组织的建议和政策。建议分级评估、发展和评价（GRADE）方法用于评估建议的强度和证据的置信度。这些建议是临时建议，鉴于这一不断演变的主题存在知识差距和缺乏高质量数据，这些建议会定期更新。综述了SARS-CoV-2传播途径及眼部表现的相关文献。提供了术前、术中和术后手术注意事项、麻醉选择以及玻璃体内注射注意事项的数据和临床经验。提出建议的目的是保护玻璃体视网膜外科医生和相关人员在介入玻璃体视网膜手术期间不接触SARS-CoV-2。这是一个快速发展的话题，在我们目前的知识中仍有许多空白。因此，建议将不断发展，目前的手稿旨在作为继续就最佳做法进行对话的基础。
To detail the rationale behind recommendations recently published by the American Society of Retina Specialists (ASRS) outlining best practices for safety of vitreoretinal surgeons and staff while performing vitreoretinal surgery during the coronavirus disease (COVID)-19 pandemic. The committee for ASRS Best Practices for Retinal Surgery during the COVID-19 Pandemic reviewed existing evidence and information on SARS-CoV-2 transmission, and risk factors during vitreoretinal surgery. Recommendations were based on best available published data, cumulative clinical experiences, and recommendations and policies from other organizations. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the strength of recommendations and confidence in the evidence. These serve as interim recommendations which are routinely updated given gaps of knowledge and lack of high-quality data on this evolving subject. Relevant existing literature related to methods of transmission, and ocular manifestations of SARS-CoV-2 are summarized. The data and clinical experiences driving recommendations for pre-operative, intraoperative and post-operative surgical considerations, anesthesia choice, as well as considerations for intravitreal injections are provided. Recommendations are provided with the goal of protecting vitreoretinal surgeons and associated personnel from exposure to SARS-CoV-2 during interventional vitreoretinal procedures. This is a rapidly evolving topic with numerous remaining gaps in our current knowledge. As such, recommendations will evolve and the current manuscript is intended to serve as a foundation for continued dialogue on best practices.
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