Impact of the COVID-19 Pandemic on Corneal Transplantation: A Report From the Italian Association of Eye Banks

PurposeTo analyze the impact of COVID-19 on Italian corneal transplantation from March-2020 to February 2021 compared to the same timeframe of the 2 previous years, in order to identify potential consequences of a global pandemic on corneal procurement and transplantation services during this time.M...

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Main Authors: Rita Mencucci, Michela Cennamo, Diego Ponzin, Federico Genzano Besso, Giulio Pocobelli, Matilde Buzzi, Carlo Nucci, Francesco Aiello
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.844601/full
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author Rita Mencucci
Michela Cennamo
Diego Ponzin
Federico Genzano Besso
Giulio Pocobelli
Matilde Buzzi
Carlo Nucci
Francesco Aiello
author_facet Rita Mencucci
Michela Cennamo
Diego Ponzin
Federico Genzano Besso
Giulio Pocobelli
Matilde Buzzi
Carlo Nucci
Francesco Aiello
author_sort Rita Mencucci
collection DOAJ
description PurposeTo analyze the impact of COVID-19 on Italian corneal transplantation from March-2020 to February 2021 compared to the same timeframe of the 2 previous years, in order to identify potential consequences of a global pandemic on corneal procurement and transplantation services during this time.MethodsThis national, multicentric, retrospective cohort study evaluated data collected from 12 (100%) Italian eye banks from March 2020 to February 2021 (Group A). The number of tissues collected, distributed and discarded were compared with the same time-frame of the 2 previous years: 2019 and 2018 (group B and C, respectively). The different type of transplants performed were reported. Data were analyzed using a non-parametric Friedman test.ResultsCorneal procurement and the percentage of distributed tissues reduced in 2020 by more than 30 and 15%, respectively, compared to the 2 previous years. During the pandemic corneal transplant surgery showed only a modest drop: the number of the penetrating keratoplasties (PKs) and the anterior lamellar keratoplasties (ALKs) decreased by about 30 and 20% in comparison with groups B and C, respectively; between the Endothelial Keratoplasties (EKs), the Descemet membrane endothelial keratoplasty (DMEK) increased slightly from March 2020 to February 2021.ConclusionsItaly was one of the first countries most affected by the outbreak of COVID-19, and the Italian government adopted severe measures to limit viral transmission. The pandemic generated several implications in corneal transplant activity during the first lockdown. Then an efficacious reaction with constant, vigorous work led to a resumption of transplant surgery to a near-normal standard. The increase of EKs, despite the pandemic, is a sign that the advance in corneal transplantation has gone ahead and it continues to evolve.
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spelling doaj.art-a6d23632987a4f95b59e48234911356f2022-12-22T03:13:18ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-03-01910.3389/fmed.2022.844601844601Impact of the COVID-19 Pandemic on Corneal Transplantation: A Report From the Italian Association of Eye BanksRita Mencucci0Michela Cennamo1Diego Ponzin2Federico Genzano Besso3Giulio Pocobelli4Matilde Buzzi5Carlo Nucci6Francesco Aiello7Department of Neurosciences, Psychology, Pharmacology and Child Health, Eye Clinic, University of Florence, Florence, ItalyDepartment of Neurosciences, Psychology, Pharmacology and Child Health, Eye Clinic, University of Florence, Florence, ItalyThe Veneto Eye Bank Foundation, Venice, ItalyEye Bank of Piedmont, SSD Tissue Banks and Biorepository, Città della Salute e della Scienza, Turin, ItalyOphthalmology Unit, Department of Experimental Medicine, University of Rome “Tor Vergata”, Rome, ItalyDepartment of Neurosciences, Psychology, Pharmacology and Child Health, Eye Clinic, University of Florence, Florence, ItalyOphthalmology Unit, Department of Experimental Medicine, University of Rome “Tor Vergata”, Rome, ItalyOphthalmology Unit, Department of Experimental Medicine, University of Rome “Tor Vergata”, Rome, ItalyPurposeTo analyze the impact of COVID-19 on Italian corneal transplantation from March-2020 to February 2021 compared to the same timeframe of the 2 previous years, in order to identify potential consequences of a global pandemic on corneal procurement and transplantation services during this time.MethodsThis national, multicentric, retrospective cohort study evaluated data collected from 12 (100%) Italian eye banks from March 2020 to February 2021 (Group A). The number of tissues collected, distributed and discarded were compared with the same time-frame of the 2 previous years: 2019 and 2018 (group B and C, respectively). The different type of transplants performed were reported. Data were analyzed using a non-parametric Friedman test.ResultsCorneal procurement and the percentage of distributed tissues reduced in 2020 by more than 30 and 15%, respectively, compared to the 2 previous years. During the pandemic corneal transplant surgery showed only a modest drop: the number of the penetrating keratoplasties (PKs) and the anterior lamellar keratoplasties (ALKs) decreased by about 30 and 20% in comparison with groups B and C, respectively; between the Endothelial Keratoplasties (EKs), the Descemet membrane endothelial keratoplasty (DMEK) increased slightly from March 2020 to February 2021.ConclusionsItaly was one of the first countries most affected by the outbreak of COVID-19, and the Italian government adopted severe measures to limit viral transmission. The pandemic generated several implications in corneal transplant activity during the first lockdown. Then an efficacious reaction with constant, vigorous work led to a resumption of transplant surgery to a near-normal standard. The increase of EKs, despite the pandemic, is a sign that the advance in corneal transplantation has gone ahead and it continues to evolve.https://www.frontiersin.org/articles/10.3389/fmed.2022.844601/fullSARS-CoV-2eye bank guidelinescorneal transplanteye donor screeningendokeratoplasty
spellingShingle Rita Mencucci
Michela Cennamo
Diego Ponzin
Federico Genzano Besso
Giulio Pocobelli
Matilde Buzzi
Carlo Nucci
Francesco Aiello
Impact of the COVID-19 Pandemic on Corneal Transplantation: A Report From the Italian Association of Eye Banks
Frontiers in Medicine
SARS-CoV-2
eye bank guidelines
corneal transplant
eye donor screening
endokeratoplasty
title Impact of the COVID-19 Pandemic on Corneal Transplantation: A Report From the Italian Association of Eye Banks
title_full Impact of the COVID-19 Pandemic on Corneal Transplantation: A Report From the Italian Association of Eye Banks
title_fullStr Impact of the COVID-19 Pandemic on Corneal Transplantation: A Report From the Italian Association of Eye Banks
title_full_unstemmed Impact of the COVID-19 Pandemic on Corneal Transplantation: A Report From the Italian Association of Eye Banks
title_short Impact of the COVID-19 Pandemic on Corneal Transplantation: A Report From the Italian Association of Eye Banks
title_sort impact of the covid 19 pandemic on corneal transplantation a report from the italian association of eye banks
topic SARS-CoV-2
eye bank guidelines
corneal transplant
eye donor screening
endokeratoplasty
url https://www.frontiersin.org/articles/10.3389/fmed.2022.844601/full
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