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Establishing a new public hospital vitreo-retinal surgical service, during COVID: Our experience
Clinical and Experimental Ophthalmology ; 50(8):953, 2022.
Article in English | EMBASE | ID: covidwho-2136744
ABSTRACT

Purpose:

To assess the clinical impact and surgical outcomes of a new public vitreo-retinal (VR) service established at Liverpool Hospital, a tertiary trauma referral centre in Sydney, in the context of the COVID-19 pandemic. Method(s) A retrospective surgical audit of all patients who had VR surgery at Liverpool Hospital from January 2020 to January 2021. Result(s) During the inception year of the new service, two surgeons performed 106 operations. Specifically, during the COVID-19 related suspension of elective surgery 22 emergency vitrectomy operations were performed. Of all operations performed, n = 40 (38%) were emergency procedures. The most common pathology was retinal detachment n = 32 (30%), 12 of which had Proliferative vitreoretinopathy at presentation. This was followed by diabetic vitrectomy n = 20 (19%) and nondiabetic vitreous haemorrhage n = 12 (12%). 8 patients had dropped nuclei (5 referred from peripheral hospitals) and 3 patients had endogenous endophthalmitis. Indications for vitrectomy were compared to the UK National Ophthalmology Database Study. Our service performed more operations for diabetic vitrectomy, nondiabetic vitreous haemorrhage and endophthalmitis compared to the UK cohort, while rates of surgery for retinal detachment were similar. At one month postoperatively, uncorrected visual acuity had improved to 6/12 or better in 41 patients (39%). 12 patients (11%) had uncorrected visual acuity worse than 6/60 at the same postoperative period, with limitations identified as PVR re-detachment (5), silicone oil (4), aphakia (2) and corneal scar (1). Conclusion(s) The results of the inaugural year of this VR service demonstrate its viability, despite COVID-19, and clinical results comparable to international standards.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Clinical and Experimental Ophthalmology Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Clinical and Experimental Ophthalmology Year: 2022 Document Type: Article