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- Title
Impact of local COVID-19 alert levels on rhegmatogenous retinal detachment.
- Authors
Chiku, Yoshiaki; Hirano, Takao; Hoshiyama, Ken; Iesato, Yasuhiro; Murata, Toshinori
- Abstract
Purpose: To investigate the impact of the local alert levels regarding coronavirus disease 2019 (COVID-19) on the clinical patterns of rhegmatogenous retinal detachment (RRD) in Japan. Study design: Retrospective, single-center, consecutive case series. Methods: We compared two groups of RRD patients, a COVID-19 pandemic group and a control group. Based on the local alert levels in Nagano, five periods during the COVID-19 pandemic were further analyzed: epidemic 1 (state of emergency), inter-epidemic 1, epidemic 2 (second epidemic duration), inter-epidemic 2, and epidemic 3 (third epidemic duration). Patients' characteristics, including symptoms' duration before visiting our hospital, macula status, and retinal detachment (RD) recurrence rate in each period, were compared with those in a control group. Results: There were 78 patients in the pandemic group and 208 in the control group. The pandemic group had a longer duration of symptoms than the control group (12.0 ± 13.5 days vs. 8.9 ± 14.7 days, P = 0.0045). During the epidemic 1 period, patients had a higher rate of macula-off RRD (71.4% vs. 48.6%) and RD recurrence (28.6% vs. 4.8%) than the control group. This period also demonstrated the highest rates compared to all other periods in the pandemic group. Conclusion: During the COVID-19 pandemic, RRD patients significantly delayed visiting a surgical facility. They showed a higher rate of macula-off and recurrence compared to the control group during the state of emergency than during other periods of the COVID-19 pandemic, although the difference was not statistically significant due to the small sample size.
- Subjects
JAPAN; RETINAL detachment; COVID-19 pandemic; COVID-19; EMERGENCY management; SAMPLE size (Statistics)
- Publication
Japanese Journal of Ophthalmology, 2023, Vol 67, Issue 3, p255
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-023-00980-1