Ophthalmological Care Management of Cataract Patients During the COVID-19 Times: Perspectives From a Mexican Eye Health Care System

Domínguez-Varela, Irving Armando; Ortiz-Morales, Gustavo; Gómez-Elizondo, Daniela E; Nava-García, José A; Valdez-García, Jorge E.

doi:10.1097/apo.0000000000000448

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Patient management during the pandemic brought up new ways of everyday clinical practice, such as telemedicine and one-day cataract surgery [ 2 , 8 ]. Firstly, there were reports of pediatric CS practices that used telemedicine to arrange appointments or followup with patients who underwent CS.…”

Section: Discussionmentioning

confidence: 99%

“…The COVID-19 pandemic has altered the organization of the health care system, directly impacting the management of surgical patients [ 1 ]. As a result of this situation, ophthalmological patients have been affected deeply by an increase in the waiting times and the limited access to cataract surgery (CS) in many healthcare settings (especially in public-funded healthcare systems) due to the prolonged cessation of elective cataract surgery [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Cataract Surgery during the COVID-19 Pandemic: Insights from a Greek Tertiary Hospital

et al. 2022

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Background: COVID-19 has affected everyday clinical practice, having an impact on the quality of healthcare provided, even in eye clinic departments. The aim of this study is to evaluate the consequences of this worldwide pandemic on cataract surgery in a Greek tertiary university hospital. Methods: A total of 805 patients were included in this study. The number of cataract surgeries (CS), the type, the unilateral or bilateral appearance as well as the stage of cataract were recorded for the months between January and June 2019 (pre-COVID period) and compared with the same period in 2021 (during the pandemic outbreak) in the Department of Ophthalmology of Thessaloniki General Hospital G. Papanikolaou. Results: A significant reduction in the number of CS as well as a significant increase in advanced and/or bilateral cataracts in 2021 compared to the pre-COVID period were observed. Conclusion: The COVID-19 pandemic has affected equally the value of ophthalmic interventions as well as the patients’ quality of life, being a powerful reminder of the significant physical and psychological benefits of CS, especially for older adults and patients with comorbidities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cataract Surgery during the COVID-19 Pandemic: Insights from a Greek Tertiary Hospital

et al. 2022

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“…In the exploratory analysis, we found no difference between the grading of cataract when matching by age and AL. In addition, during the duration of the study, our center faced a lower volume of PE due to COVID-19 [35]. This study was performed within a third-level high-resource setting, where patients usually have a better understanding of cataracts, their impact on vision, and the bene ts of cataract surgery.…”

Section: Microkeratome-induced Changesmentioning

confidence: 99%

LASIK is associated with early cataract surgery in healthy patients

Ortiz-Morales,

Ramos-Davila,

Elizondo-Fernández

et al. 2024

Int Ophthalmol

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Purpose: To evaluate the association between LASIK and early cataract phacoemulsi cation surgery (PE).Methods: A matched case-control study was conducted. Cases were otherwise healthy adults with a history of LASIK. Groups were paired according to corrected-distance visual acuity (CDVA), axial length, and cataract grade.Results: A total of 213 patients were included. 85 patients were classi ed as post-LASIK group and 128 as controls. The mean age at the time of LASIK was 42.32 ± 9.24 years. The mean CDVA before PE was 0.29 ± 0.19 Log MAR in post-LASIK group and 0.34 ± 0.22 Log MAR in controls (p=0.07). The mean axial length was 23.99 ± 1.78 mm in post-LASIK group and 23.62 ± 0.98 mm in controls (p=0.085). The mean nuclear cataract grading was 1.36 in post-LASIK group and 1.47 in controls (p=0.34). The mean age at the time of PE was 60.18 ± 7.46 years in post-LASIK group and 67.35 ± 9.28 in controls (p<0.0005). The difference between the mean age of LASIK and the mean age of PE was 17.85 ± 5.72 years. There was a positive association between the post-LASIK group and the age of PE ≤ 55 years (OR: 4.917, 95% CI: 2.21-10.90, p<0.001).Conclusion: LASIK may be associated with early PE. Patients with LASIK had a 7-year earlier PE compared to a matched control group.

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“…For instance, there was a dramatic reduction in preventative and elective care [ 5 ]. Ophthalmological patients were also affected by an increase in waiting times, with limited access to cataract surgeries, especially in public-funded healthcare systems [ 6 ]. European countries recorded a 97% reduction in the number of cataract surgeries from March to April 2020, compared with the same period in 2019 [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Psychological Impact of Cancellation of Elective Surgeries for Ophthalmic Patients during COVID-19 Pandemic

Chu

Liu

et al. 2022

IJERPH

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The COVID-19 pandemic has disrupted routine hospital services globally. The cancellation of elective surgeries placed a psychological burden on patients. A questionnaire study was conducted to identify the psychological impact of canceling cataract operations on patients at Kowloon East Cataract Center, Tseung Kwan O Hospital, Hong Kong, from April to June 2020. In total, 99 participants aged 59 years old and above, who had their cataract surgeries postponed or as scheduled, were studied using the standardized patient health questionnaire (PHQ-9) and generalized anxiety disorder questionnaire (GAD-7). None of the patients who had their cataract surgeries rescheduled reached the cutoff score for major depression in PHQ-9, whereas, according to GAD-7, five patients had mild symptoms of anxiety, and one had severe symptoms. There was no significant psychosocial impact of the cancellation of cataract surgeries on patients.

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Ophthalmological Care Management of Cataract Patients During the COVID-19 Times: Perspectives From a Mexican Eye Health Care System

Cited by 5 publications

References 4 publications

Cataract Surgery during the COVID-19 Pandemic: Insights from a Greek Tertiary Hospital

Cataract Surgery during the COVID-19 Pandemic: Insights from a Greek Tertiary Hospital

LASIK is associated with early cataract surgery in healthy patients

Psychological Impact of Cancellation of Elective Surgeries for Ophthalmic Patients during COVID-19 Pandemic

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