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.
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DOI：
10.1016/j.jcjo.2020.12.008
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Eng KT
中科院分区：
文献类型：
--
作者：
Arjmand P;Murtaza F;Eshtiaghi A;Popovic MM;Kertes PJ;Eng KT
描述2019冠状病毒病（COVID-19）大流行对三级中心视网膜脱离（RD）特征的影响。回顾性连续病例系列。188例原发性孔源性RD患者的190只眼。1年内（2019年9月14日至2020年9月13日）出现RD的患者。使用广义估计方程比较了流行病爆发前后人口统计学、解剖学和视力参数之间的关系。就诊时黄斑状态和矫正远视力。187只眼睛，分为2个队列：COVID前（n = 100，2019年9月14日至2020年3月13日）和COVID后（n = 87，2020年3月14日至2020年9月13日）。在COVID后组中，63.2%（n = 87）的眼睛出现黄斑脱离，而COVID前组为45%（n = 100）（比值比[OR]，2.14; 95%置信区间[CI]，1.19 -3.86; p = 0.011）。同样，大流行前队列中的眼睛在初始检查时具有显著更少的分离象限（OR，0.53; 95%CI，0.30-0.93; p = 0.026）。新冠肺炎后组患者在基线时的矫正远视力明显较差（平均差异[MD] = -0.35 logMAR，95% CI，-0.60至-0.09; p = 0.008），但在1个月或最终随访时并非如此。在人口统计学、透镜状态、治疗、至就诊时间或慢性方面，未观察到组间差异。在两个队列中，充气性视网膜固定术是最常进行的手术，成功率为71.5%。COVID-19大流行后的闭合影响了RD在黄斑脱离、RD程度和视力方面的特征。在最终随访时，两组的最终视力和解剖结局相似。这些数据有助于未来的患者教育，分诊和治疗决策。
To describe the impact of the coronavirus disease 2019 (COVID-19) pandemic on the characteristics of retinal detachments (RD) at a tertiary centre. Retrospective consecutive case series. One hundred and ninety eyes of 188 patients with primary, rhegmatogenous RD. Patients with RD who presented over a 1-year period (September 14, 2019 to September 13, 2020). The relationship between demographic, anatomic, and visual acuity parameters were compared before and after onset of the pandemic using generalized estimating equations. Macular status and corrected distance visual acuity on presentation. One hundred and eighty-seven eyes, divided into 2 cohorts: pre-COVID (n = 100 September 14, 2019 to March 13, 2020) and post-COVID (n = 87, March 14, 2020 to September 13, 2020). Of the eyes, 63.2% (n = 87) presented with macular detachment in the post-COVID group compared with 45% (n = 100) in the pre-COVID group (odds ration [OR], 2.14; 95% confidence interval [CI],1.19–3.86; p = 0.011). As well, eyes in the pre-pandemic cohort had significantly fewer detached quadrants on initial examination (OR, 0.53; 95% CI, 0.30–0.93; p = 0.026). Patients in the post-COVID group had a significantly worse corrected distance visual acuity at baseline (mean difference [MD] = –0.35 logMAR, 95% CI, –0.60 to –0.09; p = 0.008), but not at 1 month or at final follow-up. No differences were seen between groups with respect to demographics, lens status, treatment, time to presentation, or chronicity. Pneumatic retinopexy was the most commonly performed procedure in both cohorts, with a 71.5% success rate. Closures after the COVID-19 pandemic affected the characteristics of RDs at presentation with respect to macular detachment, extent of RD, and presenting visual acuity. At final follow-up, final visual acuity and anatomic outcomes were similar between the 2 groups. These data are helpful for future patient education, triaging, and treatment decision making.
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