Implementing the new normal in ophthalmology care beyond COVID-19

Chandra, Aman; Romano, Mario R.; Ting, Daniel Shu Wei; Chao, Daniel L.

doi:10.1177/1120672120975331

Cited by 3 publications

(3 citation statements)

References 59 publications

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“…We consider this result particularly remarkable now during COVID-19 pandemic, where Ophthalmologists are at high risk due to their proximity and short working distance at the time of slit-lamp examination, 17 and when contact time between healthcare professionals and patients' needs to be reduced. 18 On average, around 50 patients per day undergo IVI without over-crowding the IVIC and OT, which allows personnel to be redeployed for other OTs, and 72 slots for IVI are available for each daily session. These results are in line with a previous study, which also has shown an increase of the weekly number of slots for IVIs available and of weekly IVIs sessions.…”

Section: Discussionmentioning

confidence: 99%

Lean approach to the management of patients undergoing intravitreal injections during COVID-19 pandemic

Verolino¹,

Grassi

Sosto³

et al. 2021

Ophthalmol Eye Dis

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Background: To introduce Lean approach principles in the management of patients undergoing intravitreal injections (IVIs) for wet age-related macular degeneration. Methods: Retrospective single-centre cohort study. Services location, IVIs scheduling, utilization of staff, data recording methods, ophthalmic examination and surgical procedures were analysed; a new Intravitreal Injection Centre (IVIC) was developed according to Lean principles. Mean number of daily IVIs performed, mean time between registration and discharge, mean turnover time in between patients, percentages of performed IVIs on the monthly scheduled IVIs and of patients rating their experience ⩾8/10 via standardized feedback questionnaires were retrospectively analysed. Results: The mean IVIs number per day increased from 20 ± 4.08 to 50 ± 7.07, and the mean time between registration and discharge of a patient decreased from 240 ± 14.14 to 60 ± 8.16 min ( p = 0.00057 and p < 0.00001, respectively). Mean turnover time in between patients decreased from 10 ± 1.41 to 8 ± 2 min ( p = 0.055). The percentage of monthly IVIs performed on the total of scheduled IVIs increased from 60% to 100%, and the percentage of satisfied patients who rated IVIC ⩾8/10 increased from 45% to 95% ( p = 0.0177 and p < 0.00105, respectively). Conclusion: The IVIC improved the quality, efficiency, speed of the overall procedures and clinical capacity of the IVI service through a fast one-way route for patients, limiting time wasted and total distance travelled. This model facilitates the creation of a one-stop clinic through the just-in-time management principle and may be relevant to other ophthalmology services.

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Section: Discussionmentioning

confidence: 99%

Lean approach to the management of patients undergoing intravitreal injections during COVID-19 pandemic

Verolino¹,

Grassi

Sosto³

et al. 2021

Ophthalmol Eye Dis

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“…As we are still trying to control the COVID-19 pandemic, adopting new strategies in patients' care like telemedicine, using fundus photography, and smartphone assisted slit-lamp examination instead of conventional methods has become essential. [32][33][34][35] Industrial incorporations of protective equipment like slit-lamp shields in the ophthalmic clinic settings should be implemented. Further studies regarding the real protective value of the currently used PPE are needed which could help with optimizing the PPE designs to obtain adequate protection with better compliance among healthcare workers.…”

Section: Discussionmentioning

confidence: 99%

Challenges of personal protective equipment use among ophthalmologists during the COVID-19 pandemic: A multicenter international study

Ashour

Elkitkat

Gabr

et al. 2021

European Journal of Ophthalmology

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Purpose: To explore the possible challenges and difficulties of using Personal Protective Equipment (PPE) in ophthalmic practice during the Coronavirus disease 2019 (COVID-19) pandemic. Methods: This is a multicenter, international survey among practicing ophthalmologists across different countries. The survey was conducted from September 9th to October 24th, 2020. It included a total of 23 questions that navigated through the currently adopted recommendations in different clinical situations. The survey also assessed the convenience of using various PPE in ophthalmic practice and addressed the clarity of the examination field while using various PPE during clinical or surgical procedures. Results: One hundred and seventy-two ophthalmologists completed the survey (101 from Egypt, 50 from the USA, and 21 from four other countries). The analysis of the responses showed that most ophthalmologists use face masks without significant problems during their examinations, while face shields followed by protective goggles were the most inconvenient PPE in the current ophthalmic practice. Moreover, most of the participants (133, 77.3%) noticed an increase in their examination time when using PPE. Furthermore, a considerable percentage of the respondents (70, 40.7%) stopped using one or more of the PPE due to inconvenience or discomfort. Conclusions: Due to the unique nature of the ophthalmic examination, certain PPE are not ophthalmologist-friendly. Innovative PPE should be tailored for prompt, more convenient, and clearer ophthalmological practice.

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“…Finally, the recent COVID-19 pandemic has created many hurdles for individuals seeking ophthalmic care. [ 3 4 5 ] Teleophthalmology solutions integrated with AI algorithms are able to reduce clinician review times by screening large numbers of batched image files for pathology. [ 6 ]…”

mentioning

confidence: 99%

Artificial intelligence and machine learning in ophthalmology: A review

Srivastava

Tennant

Grewal

et al. 2022

Indian Journal of Ophthalmology

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Since the introduction of artificial intelligence (AI) in 1956 by John McCarthy, the field has propelled medicine, optimized efficiency, and led to technological breakthroughs in clinical care. As an important frontier in healthcare, AI has implications on every subspecialty within medicine. This review highlights the applications of AI in ophthalmology: a specialty that lends itself well to the integration of computer algorithms due to the high volume of digital imaging, data, and objective metrics such as central retinal thickness. The focus of this review is the use of AI in retina, cornea, anterior segment, and pediatrics.

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Implementing the new normal in ophthalmology care beyond COVID-19

Cited by 3 publications

References 59 publications

Lean approach to the management of patients undergoing intravitreal injections during COVID-19 pandemic

Lean approach to the management of patients undergoing intravitreal injections during COVID-19 pandemic

Challenges of personal protective equipment use among ophthalmologists during the COVID-19 pandemic: A multicenter international study

Artificial intelligence and machine learning in ophthalmology: A review

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