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[Impacts of the SARS-CoV-2 pandemic on ophthalmic care in Germany]. / Auswirkungen der SARS-CoV-2-Pandemie auf die ophthalmologische Versorgung in Deutschland.
Hattenbach, Lars-Olof; Heinz, Peter; Feltgen, Nicolas; Hoerauf, Hans; Kohnen, Thomas; Priglinger, Siegfried; Bachmann, Werner; Rieks, Johannes; Eter, Nicole; Reinhard, Thomas.
  • Hattenbach LO; Kommission Sektorenübergreifende Augenheilkunde von DOG (Deutsche Ophthalmologische Gesellschaft e. V.) und BVA (Berufsverband der Augenärzte Deutschlands e. V.), München/Düsseldorf, Deutschland. hattenbach.LO@klilu.de.
  • Heinz P; Augenklinik, Klinikum Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen, Deutschland. hattenbach.LO@klilu.de.
  • Feltgen N; Kommission Sektorenübergreifende Augenheilkunde von DOG (Deutsche Ophthalmologische Gesellschaft e. V.) und BVA (Berufsverband der Augenärzte Deutschlands e. V.), München/Düsseldorf, Deutschland.
  • Hoerauf H; Augenarztpraxis Dr. Peter Heinz, Schlüsselfeld, Deutschland.
  • Kohnen T; Augenklinik, Universitätsmedizin Göttingen, Göttingen, Deutschland.
  • Priglinger S; Kommission Sektorenübergreifende Augenheilkunde von DOG (Deutsche Ophthalmologische Gesellschaft e. V.) und BVA (Berufsverband der Augenärzte Deutschlands e. V.), München/Düsseldorf, Deutschland.
  • Bachmann W; Augenklinik, Universitätsmedizin Göttingen, Göttingen, Deutschland.
  • Rieks J; Kommission Sektorenübergreifende Augenheilkunde von DOG (Deutsche Ophthalmologische Gesellschaft e. V.) und BVA (Berufsverband der Augenärzte Deutschlands e. V.), München/Düsseldorf, Deutschland.
  • Eter N; Augenklinik, Universitätsmedizin Frankfurt/Main, Frankfurt/Main, Deutschland.
  • Reinhard T; Kommission Sektorenübergreifende Augenheilkunde von DOG (Deutsche Ophthalmologische Gesellschaft e. V.) und BVA (Berufsverband der Augenärzte Deutschlands e. V.), München/Düsseldorf, Deutschland.
Ophthalmologe ; 117(9): 892-904, 2020 Sep.
Article in German | MEDLINE | ID: covidwho-740886
ABSTRACT

BACKGROUND:

Survey by the commission for cross-sectoral ophthalmology, as a joint commission of the German Ophthalmological Society (DOG) and the Professional Association of German Ophthalmologists (BVA) on the effects of the SARS-CoV­2 pandemic on ophthalmological patient care in Germany.

METHODS:

Online-based survey.

RESULTS:

A total of 1190 questionnaires were (partly) answered. With respect to outpatient care and consultations from 15 March to 15 April 2020, a total of 69 (5.8%) participants indicated unlimited, 756 (63.5%) reduced and 330 (27.7%) emergency care only, independent of the type of institution. Outpatient surgery was restricted to emergency surgery in 68% of clinics, 42.0% of inpatient wards, 45.0% of surgical medical care centers and group practices and 33.0% of private practices. Inpatient procedures were limited to emergency care in 75.0% of inpatient wards and in 71.0% of clinics. With the exception of endophthalmitis (+8.2%), the number of urgent indications and emergencies declined retinal detachment (-34.8%), perforating eyeball injuries (-7.3%), acute glaucoma (-17.8%), central retinal artery occlusion and anterior ischemic optic neuropathy (-31.0%), others (-30.9%), penetrating keratoplasty and amniotic membrane transplantation (-59.1%). Institutional or professional policy requirements (76.0%) and appointment cancellation by patients (84.0%) were the most common reasons for limitations in ophthalmic patient care.

CONCLUSION:

The initial phase of the pandemic was characterized by a massive reduction in non-urgent conservative and surgical treatment that affected all areas of ophthalmology. Due to intensive care capacities required for COVID-19 patients, inpatient treatment was largely restricted to emergencies. Treatment of ophthalmological patients, including ocular emergencies and urgent treatment, was maintained across all sectors with a (considerable) decrease in the number of cases even in these groups.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ophthalmology / Pneumonia, Viral / Ophthalmologic Surgical Procedures / Coronavirus Infections / Patient Care Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: German Journal: Ophthalmologe Journal subject: Ophthalmology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ophthalmology / Pneumonia, Viral / Ophthalmologic Surgical Procedures / Coronavirus Infections / Patient Care Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: German Journal: Ophthalmologe Journal subject: Ophthalmology Year: 2020 Document Type: Article