Tennent Institute of Ophthalmology, Gartnavel General Hospital.
Ophthalmology Department, Queen Elizabeth University Hospital.
Ophthalmic Plast Reconstr Surg. 2021;37(3S):S104-S108. doi: 10.1097/IOP.0000000000001852.
Our oculoplastic service piloted a new video consultation (VC) clinic in response to the COVID-19 pandemic. Data were collected to determine whether specific patients are better suited to VC, and to quantify the true benefit of VC in patients that successfully attended.
Data were collected prospectively on predetermined data collection forms, including consultation duration, diagnosis, management plan, and issues that arose.
37.8% of new referrals and 60.9% of return patients were vetted as suitable for VC. Of those invited to attend, 83.4% agreed to a VC appointment. Of the patients appointed to a VC clinic, 71.7% (new)/75% (return) successfully completed VC, 14.9%/15.8% attempted a VC which ultimately failed, and 13.4%/9.2% did not attend. VC successfully prevented face-to-face consultation in 81.3% of new cases and 91.1% of returns. Ectropion, entropion and dermatochalasis (new referrals), and postoperative follow-up (return patients) were well suited to VC, while patients with "watery eye" (new), and lid or conjunctival lesions (return), often required face-to-face consultation. Problems (most common issues with patients connecting to the consultation, video quality, and audio quality) were encountered during 50.3% of calls, although 82.6% of attempted calls were ultimately successful. Age was not associated with the proportion of calls that were successful.
VC is a useful tool for oculoplastic patients, irrespective of age, as long as the patient's notes/referrals are carefully vetted to determine suitability. Patients with ectropion, entropion and dermatochalasis, and postoperative reviews are better suited to VC than those with "watery eye," lid lesions, and conjunctival lesions.
我们的眼整形服务部门针对 COVID-19 大流行，试行开设了新的视频咨询（VC）门诊。收集数据以确定哪些特定患者更适合 VC，并量化成功就诊的 VC 患者的真正获益。
通过预先设定的数据收集表格，前瞻性地收集数据，包括咨询持续时间、诊断、管理计划和出现的问题。
新转诊患者中有 37.8%，复诊患者中有 60.9%经评估适合 VC。受邀参加 VC 门诊的患者中，83.4%同意预约 VC 门诊。在预约 VC 门诊的患者中，71.7%（新患者）/75%（复诊患者）成功完成 VC，14.9%/15.8%尝试 VC 但最终失败，13.4%/9.2%未就诊。VC 成功避免了 81.3%的新病例和 91.1%的复诊病例的面对面咨询。眼睑外翻、眼睑内翻和皮肤松弛（新转诊患者）以及术后随访（复诊患者）非常适合 VC，而“溢泪”（新患者）和眼睑或结膜病变（复诊患者）的患者通常需要面对面咨询。在 50.3%的电话中遇到了问题（最常见的问题是患者连接到咨询、视频质量和音频质量），但 82.6%的尝试通话最终成功。年龄与通话成功率无相关性。
只要仔细评估患者的病历/转诊情况以确定其是否适合，VC 对眼整形患者（无论年龄大小）都是一种有用的工具。眼睑外翻、眼睑内翻和皮肤松弛以及术后复诊患者比“溢泪”、眼睑病变和结膜病变患者更适合 VC。
