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Incidence and surgical care of retinal detachment during the first SARS-CoV-2 lockdown period at a tertiary referral center in Austria.
Schranz, Markus; Georgopoulos, Michael; Sacu, Stefan; Reumueller, Adrian; Reiter, Gregor S; Mylonas, Georgios; Schmidt-Erfurth, Ursula; Pollreisz, Andreas.
  • Schranz M; Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
  • Georgopoulos M; Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
  • Sacu S; Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
  • Reumueller A; Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
  • Reiter GS; Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
  • Mylonas G; OPTIMA, Christian Doppler Laboratory, Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
  • Schmidt-Erfurth U; Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
  • Pollreisz A; Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
PLoS One ; 16(3): e0248010, 2021.
Article in English | MEDLINE | ID: covidwho-1388905
ABSTRACT

PURPOSE:

To assess the influence of the SARS-CoV-2 lockdown in spring on frequency, severity and quality of care of rhegmatogeneous retinal detachments (RRD) in a tertiary referral center in Vienna, Austria.

METHODS:

Single center, consecutive case series with historical controls. Patients presenting with primary RRD during the first Austrian SARS-CoV-2 lockdown (March 16th-May 3rd 2020) and a corresponding control group consisting of the same time period of the preceding 3 years.

RESULTS:

The mean number of patients with RD in the reference group (RG) was 22 (± 1) and in the lockdown group (LG) 15. Median total delay, defined as onset of symptoms until surgery, in the RG was 5 (lower quartile 3.0; upper quartile 8.0) compared to 7 (3.0; 12.0) days in the LG, (p = 0.740). During the lockdown 67% of patients were referred from an external ophthalmologist compared to 52% in the RG, (p = 0.395). 34% of patients in the RG presented with an attached macula compared to 33% in the LG (p = 0.597). PVR was present in 49% of cases in the RG compared to 73% in the LG. Single surgery success (SSS) rates were lower in the LG (73.3%) compared to the RG (85.3%), (p = 0.275).

CONCLUSION:

Patients with RRD during the SARS-CoV-2 lockdown presented and were treated within acceptable time limits, showed the same macula-on ratios but a higher PVR rate and a tendency towards worse SSS rates compared to the time period of the preceding 3 years.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Retinal Detachment / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: JOURNAL.PONE.0248010

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Retinal Detachment / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: JOURNAL.PONE.0248010