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Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema

BACKGROUND/OBJECTIVES: During the COVID-19, elective cataract surgery (CS) was significantly curtailed. We investigated whether consequent reduction of micro-surgical skills practice might lead to higher operative complications. METHODS: Single-centre, electronic note review of consecutive patients...

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Autores principales: Theodoraki, Korina, Naderi, Khayam, Lam, Chun Fung Jeffrey, Tan, Jit Kai, Jameel, Ashmal, Lai, Lily, Garcia, Luis Onrubia, Low, Sancy, Bhogal, Mani, Robbie, Scott, O’Brart, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812952/
https://www.ncbi.nlm.nih.gov/pubmed/35115718
http://dx.doi.org/10.1038/s41433-022-01958-y
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author Theodoraki, Korina
Naderi, Khayam
Lam, Chun Fung Jeffrey
Tan, Jit Kai
Jameel, Ashmal
Lai, Lily
Garcia, Luis Onrubia
Low, Sancy
Bhogal, Mani
Robbie, Scott
O’Brart, David
author_facet Theodoraki, Korina
Naderi, Khayam
Lam, Chun Fung Jeffrey
Tan, Jit Kai
Jameel, Ashmal
Lai, Lily
Garcia, Luis Onrubia
Low, Sancy
Bhogal, Mani
Robbie, Scott
O’Brart, David
author_sort Theodoraki, Korina
collection PubMed
description BACKGROUND/OBJECTIVES: During the COVID-19, elective cataract surgery (CS) was significantly curtailed. We investigated whether consequent reduction of micro-surgical skills practice might lead to higher operative complications. METHODS: Single-centre, electronic note review of consecutive patients undergoing CS during three periods: 1(st) February 2019 to 13(th) January 2020 (P1) prior to pandemic; 3rd June 2020 to 11th January 2021 after 1(st) lockdown (P2); and 25(th) January to 30(th) July 2021 (P3) after/during second lockdown. RESULTS: 2276 operations occurred during P1, 999 during P2, 846 during P3. During P1, posterior capsular rupture (PCR) rate was 1.67%, similar to P2 (1.30%, p = 0.54), but lower than P3 (3.55%, p = 0.002). There was no difference in PCR risk percentage scores between routine and PCR cases during P1 (1.90% vs 2.03%, p = 0.83), P2 (2% vs 2.18%, p = 0.18), or P3 (1.87% vs. 2.71%, p = 0.08). During P2 and P3, there was a higher rate of cystoid macular oedema (CMO) compared with P1 (4.9% and 6.86% vs. 1.93%, p = 0.0001), with no differences in proportion of diabetics or cases with CMO in combination with PCR. There was no difference in surgeons grade experiencing PCR. CONCLUSIONS: In P3 following 9 months of curtailed elective CS, PCR rates were increased across all surgeon grades, occurring in cases with similar risk percentage scores. CMO rates were increased during COVID and not related to proportion of diabetics or increased PCR rates. The reduction in elective CS during the pandemic was associated with more complications, perhaps due to attenuation of microsurgical skills.
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spelling pubmed-88129522022-02-04 Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema Theodoraki, Korina Naderi, Khayam Lam, Chun Fung Jeffrey Tan, Jit Kai Jameel, Ashmal Lai, Lily Garcia, Luis Onrubia Low, Sancy Bhogal, Mani Robbie, Scott O’Brart, David Eye (Lond) Article BACKGROUND/OBJECTIVES: During the COVID-19, elective cataract surgery (CS) was significantly curtailed. We investigated whether consequent reduction of micro-surgical skills practice might lead to higher operative complications. METHODS: Single-centre, electronic note review of consecutive patients undergoing CS during three periods: 1(st) February 2019 to 13(th) January 2020 (P1) prior to pandemic; 3rd June 2020 to 11th January 2021 after 1(st) lockdown (P2); and 25(th) January to 30(th) July 2021 (P3) after/during second lockdown. RESULTS: 2276 operations occurred during P1, 999 during P2, 846 during P3. During P1, posterior capsular rupture (PCR) rate was 1.67%, similar to P2 (1.30%, p = 0.54), but lower than P3 (3.55%, p = 0.002). There was no difference in PCR risk percentage scores between routine and PCR cases during P1 (1.90% vs 2.03%, p = 0.83), P2 (2% vs 2.18%, p = 0.18), or P3 (1.87% vs. 2.71%, p = 0.08). During P2 and P3, there was a higher rate of cystoid macular oedema (CMO) compared with P1 (4.9% and 6.86% vs. 1.93%, p = 0.0001), with no differences in proportion of diabetics or cases with CMO in combination with PCR. There was no difference in surgeons grade experiencing PCR. CONCLUSIONS: In P3 following 9 months of curtailed elective CS, PCR rates were increased across all surgeon grades, occurring in cases with similar risk percentage scores. CMO rates were increased during COVID and not related to proportion of diabetics or increased PCR rates. The reduction in elective CS during the pandemic was associated with more complications, perhaps due to attenuation of microsurgical skills. Nature Publishing Group UK 2022-02-03 2023-02 /pmc/articles/PMC8812952/ /pubmed/35115718 http://dx.doi.org/10.1038/s41433-022-01958-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Theodoraki, Korina
Naderi, Khayam
Lam, Chun Fung Jeffrey
Tan, Jit Kai
Jameel, Ashmal
Lai, Lily
Garcia, Luis Onrubia
Low, Sancy
Bhogal, Mani
Robbie, Scott
O’Brart, David
Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema
title Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema
title_full Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema
title_fullStr Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema
title_full_unstemmed Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema
title_short Impact of cessation of regular cataract surgery during the COVID pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema
title_sort impact of cessation of regular cataract surgery during the covid pandemic on the rates of posterior capsular rupture and post-operative cystoid macular oedema
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812952/
https://www.ncbi.nlm.nih.gov/pubmed/35115718
http://dx.doi.org/10.1038/s41433-022-01958-y
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