Hospital Clínico San Carlos, Madrid, Spain; Clínica Rementería, Madrid, Spain.
Fundación Jiménez Díaz, Madrid, Spain.
Arch Soc Esp Oftalmol (Engl Ed). 2023 Apr;98(4):213-219. doi: 10.1016/j.oftale.2023.03.004. Epub 2023 Mar 4.
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 specialised in ocular surface, as well as to analyse 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.
68 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 optimise the flow of care.
数字演变代表了眼科适应新的护理模式的机会。本研究旨在了解大流行如何改变眼表疾病专科医生的临床实践和培训活动，并分析新兴趋势和需求。
本研究通过在线调查进行。一个由 3 名专家组成的委员会制定了一个由 25 个问题组成的问卷，分为以下几部分：1）参与者概况；2）大流行对患者管理和专业活动的影响；3）趋势和需求。
共有 68 名临床眼科医生参与了研究。（参与者）高度一致（90%）认为大流行推迟了眼科随访和诊断。（参与者）认为干眼症（75%）、麦粒肿/霰粒肿（62%）和睑缘炎（60%）患者的频率增加。28%的人认为，远程监测干眼症、青光眼、糖尿病、结膜炎、低眼压、麦粒肿等疾病将很常见，尤其是在年轻人中。这在眼表的慢性或轻度疾病以及白内障和糖尿病视网膜病变干预后的患者随访中尤为重要。
在大流行期间，某些眼表疾病的发病率有所增加。眼表慢性或轻度疾病的远程随访需要为患者和医疗保健专业人员提供特定的培训，此外还需要制定筛查和转诊协议，以优化护理流程。
