Author: Andi Arus Victor (Indonesia)
Co-authors: Ari Djatikusumo, Gitalisa Andayani, Anggun Rama Yudantha, Mario Marbungaran Hutapea, Michael JE, Azrina Noor
Purpose
This study aimed to describe the clinical characteristics and demographics of patients with vitreoretinal disease visiting the outpatient clinic and undergoing surgery at Cipto Mangunkusumo National General Hospital during Indonesia’s large-scale social restriction due to COVID-19 pandemic.
Setting/Venue
Vitreoretina division, Department of Ophthalmology, Cipto Mangunkusumo National General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta
Methods
We conducted a retrospective descriptive study of patients visiting vitreoretinal division at Cipto Mangunkusumo National General Hospital from March 2020 to June 2020. Demographical data, comorbidities, BCVA, diagnosis, types of surgery, and anasthesia was obtained from patient’s medical records and presented as percentage.
Results
755 outpatient cases and 245 surgery cases were included in this study. Mean age for outpatient and surgery case was 51.6 years and 52 years, respectively. Five most common diagnosis in the clinic was post vitrectomy and endolaser (26.6%), proliferative diabetic retinopathy (18%), post vitrectomy (17.8%), rhegmatogenous retinal detachment (10.5%), and vitreous hemorrhage (6.6%). Meanwhile, for surgery cases, rhegmatogenous retinal ablation accounts for the highest diagnosis (48.2%), followed by silicon filled eye (16.3%), diabetic retinopathy (9%), retinal detachment (8.2%), vitreous hemorrhage (5.3%). Diabetes and hypertension are the two most common comorbidities found in outpatient clinic (58.5%) and in these cases were the result of readjustment made according to the recommendation of American Academy of Ophthalmology (AAO) for patient care during COVID-19 pandemic to reduce unnecessary visits and procedures in order to decrease COVID-19 transmissions.
Conlusions
The COVID-19 pandemic has required hospitals to adapt by making readjustments in order to reduce the transmission of the virus. In the vitreoretinal division, Cipto Mangunkusumo National General Hospital, protective measures have been implemented using screening and prioritization methods recommended by AAO. Since then, the number of outpatient and surgery cases have dropped, proving the effectiveness of the readjustments made.
Financial Disclosure
None
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