Impact of the COVID-19 pandemic on characteristics of retinal detachments: the Canadian experience.
Can J Ophthalmol
; 56(2): 88-95, 2021 Apr.
Article
in English
| MEDLINE | ID: covidwho-1027890
ABSTRACT
OBJECTIVE:
To describe the impact of the coronavirus disease 2019 (COVID-19) pandemic on the characteristics of retinal detachments (RD) at a tertiary centre.DESIGN:
Retrospective consecutive case series.PARTICIPANTS:
One hundred and ninety eyes of 188 patients with primary, rhegmatogenous RD.METHODS:
Patients with RD who presented over a 1-year period (September 14, 2019 to September 13, 2020). The relationship between demographic, anatomic, and visual acuity parameters were compared before and after onset of the pandemic using generalized estimating equations. MAIN OUTCOMEMEASURES:
Macular status and corrected distance visual acuity on presentation.RESULTS:
One hundred and eighty-seven eyes, divided into 2 cohorts pre-COVID (nâ¯=â¯100 September 14, 2019 to March 13, 2020) and post-COVID (nâ¯=â¯87, March 14, 2020 to September 13, 2020). Of the eyes, 63.2% (nâ¯=â¯87) presented with macular detachment in the post-COVID group compared with 45% (nâ¯=â¯100) in the pre-COVID group (odds ration [OR], 2.14; 95% confidence interval [CI],1.19-3.86; pâ¯=â¯0.011). As well, eyes in the pre-pandemic cohort had significantly fewer detached quadrants on initial examination (OR, 0.53; 95% CI, 0.30-0.93; pâ¯=â¯0.026). Patients in the post-COVID group had a significantly worse corrected distance visual acuity at baseline (mean difference [MD]â¯=â¯-0.35 logMAR, 95% CI, -0.60 to -0.09; pâ¯=â¯0.008), but not at 1 month or at final follow-up. No differences were seen between groups with respect to demographics, lens status, treatment, time to presentation, or chronicity. Pneumatic retinopexy was the most commonly performed procedure in both cohorts, with a 71.5% success rate.CONCLUSIONS:
Closures after the COVID-19 pandemic affected the characteristics of RDs at presentation with respect to macular detachment, extent of RD, and presenting visual acuity. At final follow-up, final visual acuity and anatomic outcomes were similar between the 2 groups. These data are helpful for future patient education, triaging, and treatment decision making.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Retinal Detachment
/
SARS-CoV-2
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
North America
Language:
English
Journal:
Can J Ophthalmol
Year:
2021
Document Type:
Article
Affiliation country:
J.jcjo.2020.12.008
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