Rethinking Elective Cataract Surgery Diagnostics, Assessments, and Tools after the COVID-19 Pandemic Experience and Beyond: Insights from the EUROCOVCAT Group.

Autor: Tognetto D; Eye Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34134 Trieste, Italy., Brézin AP; Université de Paris, Hôpital Cochin, 75014 Paris, France., Cummings AB; Wellington Eye Clinic, D18 T8P3 Dublin, Ireland., Malyugin BE; S. Fyodorov Eye Microsurgery Federal State Institution, Russian Federation, 127486 Moscow, Russia., Evren Kemer O; University of Health Sciences, Ankara City Hospital, 06800 Ankara, Turkey., Prieto I; Department of Ophthalmology, Fernando Fonseca Hospital, 2720-276 Amadora, Portugal., Rejdak R; Department of General Ophthalmology, Medical University of Lublin, 20-079 Lublin, Poland., Teus MA; Department of Ophthalmology, University of Alcalá, 28802 Madrid, Spain., Törnblom R; Department of Ophthalmology, TYKS Hospital, 20521 Turku, Finland., Toro MD; Department of General Ophthalmology, Medical University of Lublin, 20-079 Lublin, Poland.; Faculty of Medical Sciences, Collegium Medicum, Cardinal Stefan Wyszyński University, 01-815 Warsaw, Poland.; Department of Ophthalmology, University Hospital of Zürich, University of Zürich, 8091 Zürich, Switzerland., Vinciguerra AL; Eye Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34134 Trieste, Italy., Giglio R; Eye Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34134 Trieste, Italy., De Giacinto C; Eye Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34134 Trieste, Italy.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2020 Dec 02; Vol. 10 (12). Date of Electronic Publication: 2020 Dec 02.
DOI: 10.3390/diagnostics10121035
Abstrakt: The progressive deterioration of the visual function in patients on waiting lists for cataract surgery has a negative impact on their quality of life, especially in the elderly population. Patient waiting times for cataract surgeries in many healthcare settings have increased recently due to the prolonged stop or slowdown of elective cataract surgery as a result of coronavirus disease 19 (COVID-19). The aim of this review is to highlight the impact of such a "de-prioritization" of cataract surgery and to summarize some critical issues and useful hints on how to reorganize cataract pathways, with a special focus on perioperative diagnostic tools during the recovery phase and beyond. The experiences of a group of surgeons originating from nine different countries, named the European COVID-19 Cataract Group (EUROCOVCAT), have been combined with the literature and recommendations from scientific ophthalmic societies and healthcare institutions. Key considerations for elective cataract surgery should include the reduction of the number of unnecessary visits and examinations, adoption of precautionary measures, and implementation of telemedicine instruments. New strategies should be adopted to provide an adequate level of assistance and to guarantee safety conditions. Flexibility will be the watchword and regular updates would be necessary following scientific insights and the development of the pandemic.
Databáze: MEDLINE
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