Benítez Del Castillo J M, Alejandre Alba N, Henares I, Ferraris M P, Águila M
Hospital Clínico San Carlos, Madrid, España.
Clínica Rementería, Madrid, España.
Arch Soc Esp Oftalmol. 2023 Apr;98(4):213-219. doi: 10.1016/j.oftal.2023.01.004. Epub 2023 Jan 24.
Digital evolution represents an opportunity for ophthalmology to adapt to new care models. This study aimed to find out how the pandemic has modified the clinical practice and training activities of the ophthalmologist specialized in ocular surface, as well as to analyze emerging trends and needs.
This study was carried out through an online survey. A committee of 3 specialists developed a questionnaire of 25 questions structured in: 1) Participant profile; 2) Impact of the pandemic on patient management and professional activities; 3) Trends and needs.
Sixty-eight clinical ophthalmologists participated. There was a high degree of agreement (90%) that the pandemic has delayed ophthalmological follow-up visits and diagnosis. The participants agreed that the frequency of patients with dry eye disease (75%), stye/chalazion (62%) and blepharitis (60%) has increased. According to 28%, remote monitoring of pathologies such as dry eye, glaucoma, diabetes, conjunctivitis, hyposphagmas, styes, etc., will be common, especially in the young population. This will be especially relevant in chronic or mild pathologies of the ocular surface, and in the follow-up of patients after cataract and diabetic retinopathy interventions.
During the pandemic, an increase in the incidence of certain ocular surface diseases has been perceived. The telematic follow-up of chronic or mild pathologies of the ocular surface entails the need to provide specific training for both the patient and the healthcare professional, in addition to screening and referral protocols that would optimize the flow of care.
数字发展为眼科适应新的护理模式提供了契机。本研究旨在了解疫情如何改变了眼表专科眼科医生的临床实践和培训活动，并分析新出现的趋势和需求。
本研究通过在线调查开展。一个由3名专家组成的委员会编制了一份包含25个问题的问卷，问卷结构如下：1）参与者简介；2）疫情对患者管理和专业活动的影响；3）趋势与需求。
68名临床眼科医生参与了调查。90%的人高度认同疫情延误了眼科随访和诊断。参与者一致认为，干眼症（75%）、睑腺炎/睑板腺囊肿（62%）和睑缘炎（60%）患者的数量有所增加。28%的人认为，对干眼症、青光眼、糖尿病、结膜炎、低眼压、睑腺炎等病症进行远程监测将会很普遍，尤其是在年轻人群中。这在眼表慢性或轻度病症以及白内障和糖尿病视网膜病变干预后患者的随访中尤为重要。
在疫情期间，已察觉到某些眼表疾病的发病率有所上升。对眼表慢性或轻度病症进行远程随访，除了需要优化护理流程的筛查和转诊方案外，还需要为患者和医护人员提供特定培训。
