Department of General Ophthalmology, Medical University of Lublin, Lublin, Poland.
Faculty of Medicine, Collegium Medicum Cardinal Stefan Wyszyński University, Warsaw, Poland.
Eur J Ophthalmol. 2021 Jan;31(1):5-9. doi: 10.1177/1120672120960339. Epub 2020 Sep 24.
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.
2019 年冠状病毒病(COVID-19)的爆发已在全球范围内被宣布为公共卫生紧急事件。科学界投入了大量精力,并发表了许多研究,描述了 COVID-19 的生物学、传播、临床诊断、候选治疗方法和疫苗。然而,迄今为止,关于 COVID-19 大流行对不同医疗体系中的眼科护理的影响、其在残疾方面的未来后果以及许多患者获得挽救视力的治疗方法的机会,只有少数数据。为了减少病毒的人际传播,并确保向许多地区供应基础设施、人力资源和一次性医疗器械,评估风险并推迟非必要的门诊就诊和选择性手术程序至关重要,尤其是对于老年患者和合并症患者。这种对基本眼部手术的延迟或中止可能导致显著且迅速的视力损害,甚至不可逆转的失明。确定治疗这些眼部疾病的风险效益比是一个至关重要的公共卫生问题,尽管许多受益于治疗的患者是老年人,他们更容易感染 COVID-19。如果不可逆转,这一过程可能会导致许多国家的残疾人数急剧增加,社会成本不可持续。