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[2019冠状病毒病大流行期间视网膜脱离的治疗:视网膜脱离患者在2019冠状病毒病大流行期间是否延迟就医?来自德国一家大学眼科医院的结果]

[Treatment of retinal detachment during the COVID-19 pandemic : Did patients with retinal detachment seek treatment later during the COVID-19 pandemic? Results from a German university eye hospital].

作者信息

Kaupke N, Spitzer M S, Kromer R

机构信息

Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf (UKE), Martinistr. 52, 20246, Hamburg, Deutschland.

出版信息

Ophthalmologe. 2021 Jul;118(7):670-674. doi: 10.1007/s00347-020-01248-6. Epub 2020 Oct 10.

DOI:10.1007/s00347-020-01248-6
PMID:33037895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7547549/
Abstract

BACKGROUND

Retinal detachment is an ophthalmological emergency. Delayed diagnostics and treatment increase the risk of permanent loss of vision. Current media reports have suggested that patients with medical emergencies delay seeking treatment out of fear of being infected with the corona virus SARS-CoV‑2. This study analyzed data from a German university hospital to determine if the coronavirus pandemic had an impact on treatment and visual outcomes of patients with retinal detachment.

METHODS

In this study 60 patients treated for rhegmatogenous retinal detachment in the eye hospital of the University Hospital Hamburg-Eppendorf between 15 March and 5 May 2020 were retrospectively analyzed. Patients from the corresponding period of the previous year acted as a control group. Significant differences between the groups were investigated by hypothesis testing.

RESULTS

When compared to the period in the previous year there were no significant differences for sex, age, eye, length of symptoms, previous visit to doctor, visual acuity, macula status, degree of retinal detachment, proliferative vitreoretinopathy and type or length of procedure during the coronavirus pandemic. Of the patients with retinal detachment 29% had general health concerns due to the coronavirus pandemic.

CONCLUSION

Medical treatment for retinal detachment was not influenced by the coronavirus pandemic. In contrast to other medical emergencies the morbidity of retinal detachment did not increase and admitted cases did not decrease during the pandemic when compared to the same period in the previous year.

摘要

背景

视网膜脱离是一种眼科急症。诊断和治疗的延迟会增加永久性视力丧失的风险。目前的媒体报道表明,患有急症的患者因害怕感染新型冠状病毒SARS-CoV-2而延迟就医。本研究分析了一家德国大学医院的数据,以确定冠状病毒大流行是否对视网膜脱离患者的治疗和视力结果产生影响。

方法

本研究对2020年3月15日至5月5日在汉堡-埃彭多夫大学医院眼科医院接受孔源性视网膜脱离治疗的60例患者进行了回顾性分析。上一年同期的患者作为对照组。通过假设检验研究两组之间的显著差异。

结果

与上一年同期相比,在冠状病毒大流行期间,患者的性别、年龄、眼睛、症状持续时间、之前是否看过医生、视力、黄斑状态、视网膜脱离程度、增殖性玻璃体视网膜病变以及手术类型或时长均无显著差异。在视网膜脱离患者中,29%的患者因冠状病毒大流行而对总体健康状况感到担忧。

结论

视网膜脱离的医疗治疗未受冠状病毒大流行的影响。与其他医疗急症不同,与上一年同期相比,视网膜脱离的发病率在大流行期间并未增加,入院病例也未减少。

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