Changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic: a shift towards less invasive procedures
AbstractPurpose The aim of the study was to compare the quantity, type of glaucoma surgeries, and the disease stage before and during the coronavirus disease 2019 (COVID-19) pandemic.Methods This was a retrospective, single-centre consecutive case series that included medical records of patients who...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2022.2157474 |
| _version_ | 1797353735733641216 |
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| author | Natalia Dub Kinga Gołaszewska Emil Saeed Diana Anna Dmuchowska Iwona Obuchowska Joanna Konopińska |
| author_facet | Natalia Dub Kinga Gołaszewska Emil Saeed Diana Anna Dmuchowska Iwona Obuchowska Joanna Konopińska |
| author_sort | Natalia Dub |
| collection | DOAJ |
| description | AbstractPurpose The aim of the study was to compare the quantity, type of glaucoma surgeries, and the disease stage before and during the coronavirus disease 2019 (COVID-19) pandemic.Methods This was a retrospective, single-centre consecutive case series that included medical records of patients who underwent glaucoma surgery at the University Hospital in Białystok between 4 September, 2018, and 3 March, 2020 (pre-pandemic group) and compared it with patients treated between 4 March, 2020, and 4 September, 2021 (pandemic group). Adult patients with primary or secondary open-angle or closed-angle glaucoma who underwent surgery were included in this study. Finally, 534 operated eyes (362 and 172 eyes operated on before and during the pandemic, respectively) were examined.Results The number of glaucoma surgeries dropped by 50% during the pandemic compared to a similar pre-pandemic period, with a significant difference in the kind of procedure between the two groups (p < 0.001). The most common procedures in the pre-pandemic group were Ex-Press implantation (33.7%) and trabeculectomy (31.5%). Within the pandemic group, half of the eyes underwent trabeculectomy (50.0%), followed by Preserflo microshunt (11.6%), iStent (8.7%), and transscleral cyclophotocoagulation (TSCP) (8.7%). A significant difference in the average intraocular pressure was revealed among patients who qualified for surgery.Conclusion The COVID-19 pandemic is associated with a decrease in the number of extended antiglaucoma procedures and an increase in the number of short procedures performed, such as TSCP and minimally invasive glaucoma surgery.Key MessagesOur study has shown the negative impact of the COVID-19 pandemic in reducing the number of antiglaucoma procedures.The number of glaucoma surgeries dropped by 50% during the pandemic compared to those in a similar pre-pandemic period, and the type of performed procedures has changed.The COVID-19 pandemic is associated with a decrease in the number of combined antiglaucoma procedures, in opposite: the number of minimally invasive glaucoma surgeries increased due to safety reasons. |
| first_indexed | 2024-03-08T13:35:21Z |
| format | Article |
| id | doaj.art-660e0d0408c046c7979e934baa865b3b |
| institution | Directory Open Access Journal |
| issn | 0785-3890 1365-2060 |
| language | English |
| last_indexed | 2024-03-08T13:35:21Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj.art-660e0d0408c046c7979e934baa865b3b2024-01-16T19:13:22ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602023-12-0155122423010.1080/07853890.2022.2157474Changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic: a shift towards less invasive proceduresNatalia Dub0Kinga Gołaszewska1Emil Saeed2Diana Anna Dmuchowska3Iwona Obuchowska4Joanna Konopińska5Department of Ophthalmology, Medical University of Bialystok, Bialystok, PolandDepartment of Ophthalmology, Medical University of Bialystok, Bialystok, PolandDepartment of Ophthalmology, Medical University of Bialystok, Bialystok, PolandDepartment of Ophthalmology, Medical University of Bialystok, Bialystok, PolandDepartment of Ophthalmology, Medical University of Bialystok, Bialystok, PolandDepartment of Ophthalmology, Medical University of Bialystok, Bialystok, PolandAbstractPurpose The aim of the study was to compare the quantity, type of glaucoma surgeries, and the disease stage before and during the coronavirus disease 2019 (COVID-19) pandemic.Methods This was a retrospective, single-centre consecutive case series that included medical records of patients who underwent glaucoma surgery at the University Hospital in Białystok between 4 September, 2018, and 3 March, 2020 (pre-pandemic group) and compared it with patients treated between 4 March, 2020, and 4 September, 2021 (pandemic group). Adult patients with primary or secondary open-angle or closed-angle glaucoma who underwent surgery were included in this study. Finally, 534 operated eyes (362 and 172 eyes operated on before and during the pandemic, respectively) were examined.Results The number of glaucoma surgeries dropped by 50% during the pandemic compared to a similar pre-pandemic period, with a significant difference in the kind of procedure between the two groups (p < 0.001). The most common procedures in the pre-pandemic group were Ex-Press implantation (33.7%) and trabeculectomy (31.5%). Within the pandemic group, half of the eyes underwent trabeculectomy (50.0%), followed by Preserflo microshunt (11.6%), iStent (8.7%), and transscleral cyclophotocoagulation (TSCP) (8.7%). A significant difference in the average intraocular pressure was revealed among patients who qualified for surgery.Conclusion The COVID-19 pandemic is associated with a decrease in the number of extended antiglaucoma procedures and an increase in the number of short procedures performed, such as TSCP and minimally invasive glaucoma surgery.Key MessagesOur study has shown the negative impact of the COVID-19 pandemic in reducing the number of antiglaucoma procedures.The number of glaucoma surgeries dropped by 50% during the pandemic compared to those in a similar pre-pandemic period, and the type of performed procedures has changed.The COVID-19 pandemic is associated with a decrease in the number of combined antiglaucoma procedures, in opposite: the number of minimally invasive glaucoma surgeries increased due to safety reasons.https://www.tandfonline.com/doi/10.1080/07853890.2022.2157474Glaucoma surgerySARS-CoV-2 pandemicminimally invasive glaucoma surgeryglaucoma surgery patternsCOVID-19trabeculectomy |
| spellingShingle | Natalia Dub Kinga Gołaszewska Emil Saeed Diana Anna Dmuchowska Iwona Obuchowska Joanna Konopińska Changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic: a shift towards less invasive procedures Annals of Medicine Glaucoma surgery SARS-CoV-2 pandemic minimally invasive glaucoma surgery glaucoma surgery patterns COVID-19 trabeculectomy |
| title | Changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic: a shift towards less invasive procedures |
| title_full | Changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic: a shift towards less invasive procedures |
| title_fullStr | Changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic: a shift towards less invasive procedures |
| title_full_unstemmed | Changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic: a shift towards less invasive procedures |
| title_short | Changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic: a shift towards less invasive procedures |
| title_sort | changes to glaucoma surgery patterns during the coronavirus disease 2019 pandemic a shift towards less invasive procedures |
| topic | Glaucoma surgery SARS-CoV-2 pandemic minimally invasive glaucoma surgery glaucoma surgery patterns COVID-19 trabeculectomy |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2022.2157474 |
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