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IMPACT OF CORONAVIRUS DISEASE PANDEMIC ON INTRAVITREAL INJECTIONS TREATMENT FOR MACULAR DISEASES: Report From a Referral Hospital in Milan.
Viola, Francesco; Milella, Paolo; Pozzo Giuffrida, Francesco; Ganci, Simone; Invernizzi, Alessandro.
  • Viola F; Ophthalmological Unit, Department of Clinical Sciences and Community Health, Ca' Granda Foundation-Maggiore Policlinico Hospital, University of Milan, Milan, Italy.
  • Milella P; Ophthalmological Unit, Department of Clinical Sciences and Community Health, Ca' Granda Foundation-Maggiore Policlinico Hospital, University of Milan, Milan, Italy.
  • Pozzo Giuffrida F; Ophthalmological Unit, Department of Clinical Sciences and Community Health, Ca' Granda Foundation-Maggiore Policlinico Hospital, University of Milan, Milan, Italy.
  • Ganci S; Ophthalmological Unit, Department of Clinical Sciences and Community Health, Ca' Granda Foundation-Maggiore Policlinico Hospital, University of Milan, Milan, Italy.
  • Invernizzi A; Department of Biomedical and Clinical Science "Luigi Sacco," Eye Clinic, Luigi Sacco Hospital, University of Milan, Milan, Italy; and.
Retina ; 41(4): 701-705, 2021 04 01.
Article in English | MEDLINE | ID: covidwho-1511061
Semantic information from SemMedBD (by NLM)
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6. Hospitals LOCATION_OF Management procedure
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ABSTRACT

PURPOSE:

To describe our managing strategy for COVID-19 emergency, to evaluate the adherence to intravitreal treatment (AtT) rate during the outbreak in a referral hospital in Milan, and to correlate it with patients' clinical features.

METHODS:

The AtT rate of patients with scheduled intravitreal injections during the COVID-19 outbreak from February 23, 2020 to March 31, 2020 was compared with the previous trimester and with March 2019. The impact of age, sex, visual function, and diagnosis on the AtT rate during unlocked/locked weeks (from March 8th) was evaluated.

RESULTS:

Of 650 consecutive patients with scheduled intravitreal injections, the AtT rate during the COVID-19 outbreak was 0.37. This was significantly lower compared with AtT registered in the previous trimester (0.92) and in the same weeks in 2019 (0.90) (both P < 0.001). Patients adherent to treatment were significantly younger (P < 0.001) and had a lower best-corrected visual acuity in the fellow eye (P = 0.046). During the lockdown weeks, the AtT rate was significantly lower than in the two unlocked weeks (0.19 vs. 0.73, P < 0.001). In addition, the AtT rate in patients classified as "emergent" during the lockdown weeks was 0.60.

CONCLUSION:

These preliminary results can help the retina specialist community to foresee this unique scenario and to develop successful management strategies.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Appointments and Schedules / Macular Edema / Choroidal Neovascularization / Angiogenesis Inhibitors / Wet Macular Degeneration / SARS-CoV-2 / COVID-19 Limits: Aged / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Retina Year: 2021 Document Type: Article Affiliation country: Iae.0000000000002941

Full text: Available Collection: International databases Database: MEDLINE Main subject: Appointments and Schedules / Macular Edema / Choroidal Neovascularization / Angiogenesis Inhibitors / Wet Macular Degeneration / SARS-CoV-2 / COVID-19 Limits: Aged / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Retina Year: 2021 Document Type: Article Affiliation country: Iae.0000000000002941