Momeni Ali, Asadigandomani Hassan, Jamalitootakani Mahdi, Mehrabi Bahar Mohammadreza, Faghihi Hooshang, Ghassemi Fariba, Khalili Pour Elias, Riazi-Esfahani Hamid
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Farabi Eye Hospital, Vitreoretinal surgeon Eye Research Center, Tehran University of Medical Sciences, Qazvin Square, Qazvin Street, Tehran, Iran.
Sci Rep. 2025 Jan 11;15(1):1699. doi: 10.1038/s41598-025-86206-5.
To investigate the impact of the COVID-19 pandemic on the incidence and clinical characteristics of rhegmatogenous retinal detachment (RRD) patients referred to a high-volume center, Farabi Eye Hospital, Iran. In a retrospective study, all new RRD patients referred to Farabi Eye Hospital between March 2019 and March 2020 (pre-pandemic, Group 1) and March 2020 and March 2021 (post-pandemic, Group 2) were analyzed. The groups were compared based on demographic and clinical data. A total of 375 patients were included (131 pre-pandemic, 244 post-pandemic, and 34 during lockdowns). The during-pandemic group had a shorter referral time (44.97 vs. 76.76 days, p = 0.031) and surgical wait time (4.64 vs. 8.63 days, p < 0.001). No significant differences were found in pre-operative features (etiology, proliferative vitreoretinopathy, break type), surgical procedures, or initial treatment failure rates between the groups. General anesthesia use was significantly higher in the during-pandemic group (81.6% vs. 71.8%, p = 0.029). The COVID-19 pandemic did not significantly alter the demographic, clinical characteristics, or initial surgical outcomes of RRD patients. However, patients were referred and treated more expeditiously during the pandemic. The increased use of general anesthesia requires further investigation.
为调查新冠疫情对转诊至伊朗大容量中心法拉比眼科医院的孔源性视网膜脱离（RRD）患者发病率及临床特征的影响。在一项回顾性研究中，分析了2019年3月至2020年3月（疫情前，第1组）以及2020年3月至2021年3月（疫情后，第2组）期间转诊至法拉比眼科医院的所有新发RRD患者。根据人口统计学和临床数据对两组进行比较。共纳入375例患者（131例疫情前，244例疫情后，34例处于封锁期）。疫情期间组的转诊时间较短（44.97天对76.76天，p = 0.031），手术等待时间较短（4.64天对8.63天，p < 0.001）。两组在术前特征（病因、增殖性玻璃体视网膜病变、裂孔类型）、手术方式或初始治疗失败率方面未发现显著差异。疫情期间组全身麻醉的使用率显著更高（81.6%对71.8%，p = 0.029）。新冠疫情并未显著改变RRD患者的人口统计学、临床特征或初始手术结局。然而，疫情期间患者的转诊和治疗更为迅速。全身麻醉使用率的增加需要进一步调查。
