Ilhan Cagri, Citirik Mehmet, Teke Mehmet Yasin
Department of Ophthalmology, Hatay State Hospital, Antakya, Hatay, Turkey.
Department of Ophthalmology, Ankara Ulucanlar Eye Education and Research Hospital, University of Health Sciences, Ankara, Turkey.
J Curr Ophthalmol. 2021 Oct 22;33(3):310-316. doi: 10.4103/joco.joco_89_21. eCollection 2021 Jul-Sep.
To define the characteristics of vitreoretinal surgeries amid coronavirus disease 2019 (COVID-19) pandemic restrictions in Turkey.
This descriptive, cross-sectional study was conducted for vitreoretinal surgeries during the 10-week period (during this period, all elective surgeries were postponed across the country by the order of the Republic of Turkey Ministry of Health) in a single tertiary referral hospital in Ankara, Turkey. The number of surgeries, surgical indications, risk factors, etiological factors, and associated conditions were investigated and compared with the clinical features of the patients who underwent vitreoretinal surgery in the same period of the recent year.
During this period, vitreoretinal surgery was performed more commonly for the male population ( < 0.001). The number of vitreoretinal surgeries was statistically significantly correlated with the number of COVID-19 cases ( = 0.006 and = -0.791 for weekly numbers of new surgeries and cases, and < 0.001 and = 0.929 for cumulative numbers of surgeries and cases). Diabetes mellitus in 26 patients (32.9%) was the most common systemic comorbidity. The most common indication for vitreoretinal surgery was rhegmatogenous retinal detachment in 44 patients (55.7%) followed by diabetic retinopathy complications in 21 patients (26.6%). No one was operated on for vitreoretinal interface disorders during this period, and the rate of rhegmatogenous retinal detachment was higher than the same period of the recent year ( = 0.003).
Amid COVID-19 pandemic restrictions in Turkey, the number of vitreoretinal surgeries was inversely associated with the number of confirmed COVID-19 cases. The male population needed more vitreoretinal surgery, and rhegmatogenous retinal detachment was the most common indication for all patients.
确定在土耳其2019冠状病毒病（COVID-19）大流行限制措施下玻璃体视网膜手术的特点。
本描述性横断面研究针对在土耳其安卡拉一家单一的三级转诊医院进行的为期10周的玻璃体视网膜手术（在此期间，根据土耳其共和国卫生部的命令，全国所有择期手术均被推迟）。对手术数量、手术指征、危险因素、病因和相关情况进行调查，并与上一年同期接受玻璃体视网膜手术的患者的临床特征进行比较。
在此期间，玻璃体视网膜手术在男性人群中更为常见（<0.001）。玻璃体视网膜手术的数量与COVID-19病例数在统计学上显著相关（每周新手术数和病例数的 = 0.006， = -0.791，手术总数和病例总数的 < 0.001， = 0.929）。26例患者（32.9%）患有糖尿病，是最常见的全身性合并症。玻璃体视网膜手术最常见的指征是44例（55.7%）孔源性视网膜脱离，其次是21例（26.6%）糖尿病视网膜病变并发症。在此期间，无人因玻璃体视网膜界面疾病接受手术，孔源性视网膜脱离的发生率高于上一年同期（ = 0.003）。
在土耳其COVID-19大流行限制措施期间，玻璃体视网膜手术的数量与确诊的COVID-19病例数呈负相关。男性人群需要更多的玻璃体视网膜手术，孔源性视网膜脱离是所有患者最常见的指征。
