The difference in clinical characteristics between patients with rhegmatogenous retinal detachment during partial and complete lock-down periods related to COVID-19 pandemics 2-year long follow-up results.

The difference in clinical characteristics between patients with rhegmatogenous retinal detachment during partial and complete lock-down periods related to COVID-19 pandemics 2-year long follow-up results.

Publication date: Oct 21, 2024

We aimed to compare results of clinical presentation of rhegmatogenous retinal detachment (RRD), and the surgical approach during partial or complete lock-down periods (LP), and non-COVID periods in a tertiary ophthalmology clinic. The medical data of the patients who were diagnosed with RRD in a tertiary hospital. The demographic data of patients, the duration from the beginning of the visual symptoms to hospital admission, the status of lens, the anatomical quadrant of retinal break, best-corrected visual acuity (BCVA) at presentation, the type of intraocular tamponade, and final BCVA were recorded. The exclusion criteria were RD other than rhegmatogenous (tractional or exudative), and incomplete follow-up until 2nd-year. The study included 20 eyes of 20 RRD cases in partial LP, 20 eyes of 20 RRD cases in complete LP, and 23 eyes of 23 RRD cases in non-COVID period. The ratio of perfluoropropane (CF) gas to silicone oil which was applied as intraocular tamponade at the end of the surgery for RRD was 15/8 in non-COVID period, 11/9 in partial LP, and 11/9 in complete LP (p = 0. 730). In final visit at postoperative 2nd-year, the BCVA was logMAR 0. 613 +/- 0. 425 in non-COVID period, logMAR 0. 668 +/- 0. 348 in partial LP, and logMAR 0. 730 +/- 0. 368 in complete LP (p = 0. 612). In both inferior and superior quadrant RD, there was significant difference between baseline and final BCVA after surgery. (Baseline and final BCVA in inferior RD: logMAR 1. 71 +/- 0. 40, and logMAR 0. 950 +/- 0. 30 (p = 0. 011) and, in superior RD: logMAR 1. 35 +/- 0. 59, and logMAR 0. 505 +/- 0. 321 (p = 0. 0001), respectively. ) CONCLUSIONS: As a result, it seems that both partial and complete LP did not modify the typology of RRD surgeries. Retrospectively registered. The study followed the tenets of the Declaration of Helsinki, and it was approved by the local ethical committee (2023-088).

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Concepts Keywords
Helsinki Covid-19
Oil Ophthalmological emergency
Surgery Rhegmatogenous retinal detachment
Silicone oil

Semantics

Type Source Name
disease MESH retinal detachment
disease MESH COVID-19 pandemics
disease MESH retinal break
drug DRUGBANK Perflutren
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M
disease MESH severe acute respiratory syndrome
disease MESH emergencies
disease IDO country
disease MESH glaucoma
disease MESH malignancies
disease IDO process
disease MESH treatment delays
drug DRUGBANK Spinosad
drug DRUGBANK Serine
disease MESH complications
disease MESH infection
disease IDO symptom
drug DRUGBANK Trestolone
pathway KEGG Coronavirus disease
disease MESH recurrence
drug DRUGBANK Hydroxyethyl Starch
disease MESH hemorrhages
disease MESH Pneumonia
drug DRUGBANK Nitroglycerin
drug DRUGBANK L-Isoleucine
drug DRUGBANK Benzyl Benzoate
disease MESH proliferative vitreoretinopathy

Original Article

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