奥地利一家三级转诊中心在首次 SARS-CoV-2 封锁期间视网膜脱离的发生率和手术治疗。
Incidence and surgical care of retinal detachment during the first SARS-CoV-2 lockdown period at a tertiary referral center in Austria.
机构信息
Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
OPTIMA, Christian Doppler Laboratory, Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
出版信息
PLoS One. 2021 Mar 8;16(3):e0248010. doi: 10.1371/journal.pone.0248010. eCollection 2021.
PURPOSE
To assess the influence of the SARS-CoV-2 lockdown in spring on frequency, severity and quality of care of rhegmatogeneous retinal detachments (RRD) in a tertiary referral center in Vienna, Austria.
METHODS
Single center, consecutive case series with historical controls. Patients presenting with primary RRD during the first Austrian SARS-CoV-2 lockdown (March 16th-May 3rd 2020) and a corresponding control group consisting of the same time period of the preceding 3 years.
RESULTS
The mean number of patients with RD in the reference group (RG) was 22 (± 1) and in the lockdown group (LG) 15. Median total delay, defined as onset of symptoms until surgery, in the RG was 5 (lower quartile: 3.0; upper quartile: 8.0) compared to 7 (3.0; 12.0) days in the LG, (p = 0.740). During the lockdown 67% of patients were referred from an external ophthalmologist compared to 52% in the RG, (p = 0.395). 34% of patients in the RG presented with an attached macula compared to 33% in the LG (p = 0.597). PVR was present in 49% of cases in the RG compared to 73% in the LG. Single surgery success (SSS) rates were lower in the LG (73.3%) compared to the RG (85.3%), (p = 0.275).
CONCLUSION
Patients with RRD during the SARS-CoV-2 lockdown presented and were treated within acceptable time limits, showed the same macula-on ratios but a higher PVR rate and a tendency towards worse SSS rates compared to the time period of the preceding 3 years.
目的
评估 2020 年春季 SARS-CoV-2 封锁对奥地利维也纳一家三级转诊中心的孔源性视网膜脱离（RRD）的频率、严重程度和护理质量的影响。
方法
单中心、连续病例系列研究，有历史对照。在奥地利首次 SARS-CoV-2 封锁期间（2020 年 3 月 16 日至 5 月 3 日）出现原发性 RRD 的患者和前 3 年同期的相应对照组。
结果
对照组（RG）的 RRD 患者平均人数为 22（±1），封锁组（LG）为 15。RG 的总延迟中位数（定义为症状发作至手术的时间）为 5（下四分位数：3.0；上四分位数：8.0），而 LG 为 7（3.0；12.0）天，（p=0.740）。在封锁期间，67%的患者是由外部眼科医生转诊的，而 RG 为 52%，（p=0.395）。RG 中有 34%的患者视网膜附着黄斑，而 LG 中有 33%，（p=0.597）。RG 中有 49%的病例存在 PVR，而 LG 中有 73%。LG 的单次手术成功率（SSS）较低（73.3%），而 RG 为 85.3%，（p=0.275）。
结论
在 SARS-CoV-2 封锁期间，RRD 患者的就诊和治疗时间在可接受的范围内，他们的黄斑在位比例相同，但 PVR 发生率更高，且 SSS 率有恶化的趋势，与前 3 年的时间相比。
Zotero 插件