新冠疫情期间眼科临床护理的变化。
Changes to ophthalmic clinical care during the coronavirus disease 2019 pandemic.
机构信息
Francis I. Proctor Foundation, Department of Ophthalmology.
Department of Ophthalmology, University of California, San Francisco, California, USA.
出版信息
Curr Opin Ophthalmol. 2021 Nov 1;32(6):561-566. doi: 10.1097/ICU.0000000000000797.
PURPOSE OF REVIEW
Given the impact that society as a whole, and medicine specifically, has experienced as a result of the COVID-19 pandemic, an examination of clinical care changes enacted in the field of ophthalmology is of interest to the specialty.
RECENT FINDINGS
In order to adapt to the reality of the COVID-19 pandemic, measures, such as broadening telehealth capabilities, adopting universal masking, careful sanitation procedures, applying virtual teaching in academic environments, and deferring elective surgeries were put in place. These were aimed at reducing person-to-person spread of SARS-CoV-2. Though best efforts were made at triaging ophthalmic emergencies during these times, unfortunate delays in care were observed in some circumstances. Finally, a prospective study interrogating the risk of spread at slit lamp distances for short periods of time was encouraging, suggesting low risk of transmissibility, though limited by a small case-positive sample size.
SUMMARY
Significant changes have been made in the design and delivery of ophthalmic care during the COVID-19 pandemic. Some of these, such as telemedicine, may provide value in a postpandemic world.
目的综述
由于 COVID-19 大流行对整个社会，特别是医学领域产生了重大影响，因此对眼科临床护理变化的检查引起了该专业的兴趣。
最近的发现
为了适应 COVID-19 大流行的现实，采取了各种措施，例如扩大远程医疗服务能力、普遍戴口罩、仔细的卫生程序、在学术环境中应用虚拟教学以及推迟选择性手术。这些措施旨在减少 SARS-CoV-2 的人际传播。尽管在这些时候尽了最大努力对眼科急症进行分诊，但在某些情况下仍观察到护理的不幸延误。最后，一项前瞻性研究调查了在短时间内使用裂隙灯时传播的风险，结果令人鼓舞，表明传染性风险较低，但受病例阳性样本量小的限制。
总结
在 COVID-19 大流行期间，眼科护理的设计和提供方式发生了重大变化。其中一些措施，如远程医疗，在大流行后可能具有实际价值。
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