Managing vitreoretinal surgeries during COVID-19 lockdown in India: Experiences and future implications.
Identifieur interne : 001650 ( Main/Exploration ); précédent : 001649; suivant : 001651Managing vitreoretinal surgeries during COVID-19 lockdown in India: Experiences and future implications.
Auteurs : Divya Agarwal [Inde] ; Rohan Chawla [Inde] ; Toshit Varshney [Inde] ; Nawazish Shaikh [Inde] ; Parijat Chandra [Inde] ; Atul Kumar [Inde]Source :
- Indian journal of ophthalmology [ 1998-3689 ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Chirurgie vitréorétinienne (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Inde (épidémiologie), Infections à coronavirus (diagnostic), Infections à coronavirus (épidémiologie), Mâle (MeSH), Nourrisson (MeSH), Pandémies (MeSH), Pneumopathie virale (diagnostic), Pneumopathie virale (épidémiologie), Prévention des infections (méthodes), Quarantaine (statistiques et données numériques), Sujet âgé (MeSH), Études rétrospectives (MeSH), Études transversales (MeSH).
- MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- méthodes : Prévention des infections.
- statistiques et données numériques : Quarantaine.
- épidémiologie : Inde, Infections à coronavirus, Pneumopathie virale.
- Adolescent, Adulte, Adulte d'âge moyen, Betacoronavirus, Chirurgie vitréorétinienne, Enfant, Enfant d'âge préscolaire, Enquêtes et questionnaires, Femelle, Humains, Mâle, Nourrisson, Pandémies, Sujet âgé, Études rétrospectives, Études transversales.
- Wicri :
- geographic : Inde.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Child (MeSH), Child, Preschool (MeSH), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), India (epidemiology), Infant (MeSH), Infection Control (methods), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Quarantine (statistics & numerical data), Retrospective Studies (MeSH), SARS-CoV-2 (MeSH), Surveys and Questionnaires (MeSH), Vitreoretinal Surgery (MeSH).
- MESH :
- geographic , epidemiology : India.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Infection Control.
- statistics & numerical data : Quarantine.
- Adolescent, Adult, Aged, Betacoronavirus, COVID-19, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, Infant, Male, Middle Aged, Pandemics, Retrospective Studies, SARS-CoV-2, Surveys and Questionnaires, Vitreoretinal Surgery.
Abstract
Purpose
The study aims to describe the clinical and demographic profile of patients who required vitreoretinal surgeries during the novel coronavirus disease-2019 (COVID-19) lockdown in India. It also reports our operating protocols and initial experience while performing vitreoretinal surgeries during COVID-19 times at a government tertiary eye care hospital.
Methods
This is a retrospective cross-sectional observational study of patients requiring emergent/urgent vitreoretinal surgeries between March 25, 2020 and May 31, 2020. A modified working protocol focussing on the enforcement of standard COVID-19 precautions, OT sterilization, and formation of dedicated infection control and disease surveillance committee was adopted. Patients underwent standard vitreoretinal procedures under general/local anesthesia. Relevant demographic and clinical data were recorded and analyzed. Surveillance data of healthcare workers (HCW) was also analyzed.
Results
Eighty six patients were considered for vitreoretinal surgery in this period. Finally, 83 patients underwent surgery. The mean age of the patients was 38.4 ± 20.1 years (Range, 1 month - 75 years). Majority of them were males (66%) and adults (82.6%). Majority of them came from nearby hotspot areas. Most common indications were acute retinal detachment (38.5%) and diabetic vitrectomies (22.9%). Trauma-related cases (14.4%) were less. Surgery was deferred in 3 patients who turned out to be COVID-19 positive. 4 HCWs were quarantined but none of them developed COVID-19 disease.
Conclusion
During COVID-19 lockdown, vitreoretinal surgeries were most commonly performed for retinal detachment and diabetic complications. Proper implementation of infection control protocols helps in delivering adequate patient care while ensuring the safety of caregivers during this pandemic.
DOI: 10.4103/ijo.IJO_2140_20
PubMed: 32971623
PubMed Central: PMC7727968
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Varshney, Toshit" sort="Varshney, Toshit" uniqKey="Varshney T" first="Toshit" last="Varshney">Toshit Varshney</name><affiliation wicri:level="1"><nlm:affiliation>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Shaikh, Nawazish" sort="Shaikh, Nawazish" uniqKey="Shaikh 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xml:lang="fr"><term>Inde</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Purpose</b></p><p>The study aims to describe the clinical and demographic profile of patients who required vitreoretinal surgeries during the novel coronavirus disease-2019 (COVID-19) lockdown in India. It also reports our operating protocols and initial experience while performing vitreoretinal surgeries during COVID-19 times at a government tertiary eye care hospital.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>This is a retrospective cross-sectional observational study of patients requiring emergent/urgent vitreoretinal surgeries between March 25, 2020 and May 31, 2020. A modified working protocol focussing on the enforcement of standard COVID-19 precautions, OT sterilization, and formation of dedicated infection control and disease surveillance committee was adopted. Patients underwent standard vitreoretinal procedures under general/local anesthesia. Relevant demographic and clinical data were recorded and analyzed. Surveillance data of healthcare workers (HCW) was also analyzed.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Eighty six patients were considered for vitreoretinal surgery in this period. Finally, 83 patients underwent surgery. The mean age of the patients was 38.4 ± 20.1 years (Range, 1 month - 75 years). Majority of them were males (66%) and adults (82.6%). Majority of them came from nearby hotspot areas. Most common indications were acute retinal detachment (38.5%) and diabetic vitrectomies (22.9%). Trauma-related cases (14.4%) were less. Surgery was deferred in 3 patients who turned out to be COVID-19 positive. 4 HCWs were quarantined but none of them developed COVID-19 disease.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>During COVID-19 lockdown, vitreoretinal surgeries were most commonly performed for retinal detachment and diabetic complications. Proper implementation of infection control protocols helps in delivering adequate patient care while ensuring the safety of caregivers during this pandemic.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32971623</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>02</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1998-3689</ISSN><JournalIssue CitedMedium="Internet"><Volume>68</Volume><Issue>10</Issue><PubDate><Year>2020</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Indian journal of ophthalmology</Title><ISOAbbreviation>Indian J Ophthalmol</ISOAbbreviation></Journal><ArticleTitle>Managing vitreoretinal surgeries during COVID-19 lockdown in India: Experiences and future implications.</ArticleTitle><Pagination><MedlinePgn>2126-2130</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/ijo.IJO_2140_20</ELocationID><Abstract><AbstractText Label="Purpose" NlmCategory="UNASSIGNED">The study aims to describe the clinical and demographic profile of patients who required vitreoretinal surgeries during the novel coronavirus disease-2019 (COVID-19) lockdown in India. It also reports our operating protocols and initial experience while performing vitreoretinal surgeries during COVID-19 times at a government tertiary eye care hospital.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">This is a retrospective cross-sectional observational study of patients requiring emergent/urgent vitreoretinal surgeries between March 25, 2020 and May 31, 2020. A modified working protocol focussing on the enforcement of standard COVID-19 precautions, OT sterilization, and formation of dedicated infection control and disease surveillance committee was adopted. Patients underwent standard vitreoretinal procedures under general/local anesthesia. Relevant demographic and clinical data were recorded and analyzed. Surveillance data of healthcare workers (HCW) was also analyzed.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Eighty six patients were considered for vitreoretinal surgery in this period. Finally, 83 patients underwent surgery. The mean age of the patients was 38.4 ± 20.1 years (Range, 1 month - 75 years). Majority of them were males (66%) and adults (82.6%). Majority of them came from nearby hotspot areas. Most common indications were acute retinal detachment (38.5%) and diabetic vitrectomies (22.9%). Trauma-related cases (14.4%) were less. Surgery was deferred in 3 patients who turned out to be COVID-19 positive. 4 HCWs were quarantined but none of them developed COVID-19 disease.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">During COVID-19 lockdown, vitreoretinal surgeries were most commonly performed for retinal detachment and diabetic complications. Proper implementation of infection control protocols helps in delivering adequate patient care while ensuring the safety of caregivers during this pandemic.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Agarwal</LastName><ForeName>Divya</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chawla</LastName><ForeName>Rohan</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Varshney</LastName><ForeName>Toshit</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shaikh</LastName><ForeName>Nawazish</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chandra</LastName><ForeName>Parijat</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kumar</LastName><ForeName>Atul</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal 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May;68(5):711-724</Citation><ArticleIdList><ArticleId IdType="pubmed">32317433</ArticleId></ArticleIdList></Reference><Reference><Citation>Niger Med J. 2015 May-Jun;56(3):194-8</Citation><ArticleIdList><ArticleId IdType="pubmed">26229228</ArticleId></ArticleIdList></Reference><Reference><Citation>Indian J Ophthalmol. 2019 Nov;67(11):1901-1902</Citation><ArticleIdList><ArticleId IdType="pubmed">31638069</ArticleId></ArticleIdList></Reference><Reference><Citation>Indian J Ophthalmol. 2019 Nov;67(11):1819-1820</Citation><ArticleIdList><ArticleId IdType="pubmed">31638040</ArticleId></ArticleIdList></Reference><Reference><Citation>Indian J Ophthalmol. 2020 Jul;68(7):1393-1399</Citation><ArticleIdList><ArticleId IdType="pubmed">32587174</ArticleId></ArticleIdList></Reference><Reference><Citation>Indian J Ophthalmol. 2020 Jun;68(6):962-973</Citation><ArticleIdList><ArticleId IdType="pubmed">32461407</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ Open Ophthalmol. 2020 Apr 19;5(1):e000487</Citation><ArticleIdList><ArticleId IdType="pubmed">32432169</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Agarwal, Divya" sort="Agarwal, Divya" uniqKey="Agarwal D" first="Divya" last="Agarwal">Divya Agarwal</name></noRegion><name sortKey="Chandra, Parijat" sort="Chandra, Parijat" uniqKey="Chandra P" first="Parijat" last="Chandra">Parijat Chandra</name><name sortKey="Chawla, Rohan" sort="Chawla, Rohan" uniqKey="Chawla R" first="Rohan" last="Chawla">Rohan Chawla</name><name sortKey="Kumar, Atul" sort="Kumar, Atul" uniqKey="Kumar A" first="Atul" last="Kumar">Atul Kumar</name><name sortKey="Shaikh, Nawazish" sort="Shaikh, Nawazish" uniqKey="Shaikh N" first="Nawazish" last="Shaikh">Nawazish Shaikh</name><name sortKey="Varshney, Toshit" sort="Varshney, Toshit" uniqKey="Varshney T" first="Toshit" last="Varshney">Toshit 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