Impacts of the COVID-19 pandemic on elective cataract surgeries

Objective: To evaluate the standards of practice of Brazilian cataract surgeons in relation to the protective measures adopted to mitigate the risks of transmission of COVID-19 during cataract surgery, in asymptomatic patients. Methods: A descriptive, cross-sectional, quantitative paradigm study, developed from a self-administered electronic questionnaire sent to ophthalmologists and residents/specialists in ophthalmology in Brazil, who performed cataract surgeries in 2019 and 2020, connected through social media and mail listing from local societies. Results: Of the 303 participating surgeons, 159 (n=52.2%) performed elective cataract surgeries between March 20th, 2020 to June 1st, 2020. Among the measures adopted by ophthalmologists with the purpose of preventing viral transmission, the patient's temperature was measured by 84.3% (n=134), and the verification of respiratory symptoms and contact/exposure to cases of COVID-19 by 87.4% (n=139). Most did not submit their patients to laboratory tests to detect COVID-19 (145; 91.2%). In surgery, 44.7% (n=71) used an N95 mask, and 69.2% (n=110) kept their patients with a mask. No stage of phacoemulsification was modified in 144 (90.6%) participants, 13 (8.2%) added methylcellulose under the main incision, and two (1.3%), modified another surgical stage. Conclusion: The COVID-19 pandemic significantly interrupted part of cataract surgeries in Brazil from March to June 2020 and measures to prevent viral spread are being heterogeneously adopted by surgeons. Understanding these measures could be the first step to improve strategies to return to pre-pandemic levels.

Palavras-chave

Cataract, Phacoemulsification, Cataract extraction, COVID-19, Coronavirus infections

URI

https://observatorio.fm.usp.br/handle/OPI/49286

Referências

AAO, 2020, SPEC CONS OPHTH SURG
(ACS) ACoS, 2020, COVID 19 EL CAS TRIA
[Anonymous], 2020, PEDIATR MED RODZ, V16, P9, DOI 10.15557/PiMR.2020.0003
Babu N, 2020, INDIAN J OPHTHALMOL, V68, P1540, DOI 10.4103/ijo.IJO_1673_20
Brasil. Ministerio da Saude. Agencia Nacional de Vigilancia Sanitaria (ANVISA), 2021, NOT TECN GVIMS GGTES
Colegio Brasileiro de Cirurgioes (CBC), 2020, OR RET CIR EL DUR PA
Conselho Brasileiro de Oftalmologia (CBO), 2020, MAN BOAS COND RET AN
Darcy K, 2021, EYE, V35, P1405, DOI 10.1038/s41433-020-1053-3
Eggers M, 2018, INFECT DIS THER, V7, P249, DOI 10.1007/s40121-018-0200-7
European Society of Cataract and Refractive Surgeons (ESCRS), 2020, ESCRS SURV COVID 19, pI
Judson SD, 2019, VIRUSES-BASEL, V11, DOI 10.3390/v11100940
Kaur S, 2021, J CATARACT REFR SURG, V47, P695, DOI 10.1097/j.jcrs.0000000000000510
Lee H, 2020, J CATARACT REFR SURG, V46, P1290, DOI 10.1097/j.jcrs.0000000000000288
Liang L, 2020, ACTA OPHTHALMOL, V98, P223, DOI [10.1001/jamaophthalmol.2020.1291, 10.1111/aos.14413]
McGhee CNJ, 2020, CLIN EXP OPHTHALMOL, V48, P1168, DOI 10.1111/ceo.13861
Nair AG, 2020, INDIAN J OPHTHALMOL, V68, P725, DOI 10.4103/ijo.IJO_797_20
Parhar HS, 2020, HEAD NECK-J SCI SPEC, V42, P1268, DOI 10.1002/hed.26200
Rai AS, 2021, J CATARACT REFR SURG, V47, P128, DOI 10.1097/j.jcrs.0000000000000314
Reddy JC, 2020, INDIAN J OPHTHALMOL, V68, P1269, DOI 10.4103/ijo.IJO_1528_20
Royal College of Surgeons of England (RCS), 2021, VACC PAT GUID INF SU
Shetty N, 2020, J CATARACT REFR SURG, V46, P1297, DOI 10.1097/j.jcrs.0000000000000289
The Royal College of Ophthalmologists (RCOphth), 2020, GUID RES CAT SERV CO
The Royal College of Ophthalmologists (RCOphth), 2020, CAT SURG GUID POSTCO
Xia JH, 2020, J MED VIROL, V92, P589, DOI 10.1002/jmv.25725

Coleções

Artigos e Materiais de Revistas Científicas - FM/MOF
Artigos e Materiais de Revistas Científicas - COVID-19
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/20
Artigos e Materiais de Revistas Científicas - LIM/33
Artigos e Materiais de Revistas Científicas - ODS/03

Página do item completo