COVID-19如何影响眼科支点?光学和眼睛

J. Kaushik, Eram Riyaz, Ankita Singh, Anju Pannu, S. Srikanth, Rahul Anargh
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摘要

大流行迫使卫生保健系统对病人采取更新的护理方法。随着医疗保健服务的不断变化,眼科医生不得不在病人的就诊和手术方式上做出一些改变。接触程序完全限于紧急情况,同时引入了修改以尽量减少外科医生的暴露。然而,引入这些修改只是为了记住感染的传播。这些改变影响眼科光学的可能性很高,不能排除。本研究的目的是强调大流行期间引入的眼科设备的修改对外科医生可见度的影响,并讨论其对眼科患者护理的影响。使用关键词:能见度与个人防护装备(PPE)、雾化与PPE、口罩与雾化、畸变与PPE、手术与PPE深入检索PubMed文献。我们发现有35篇文章强调了PPE对能见度的影响和长时间佩戴口罩对眼睛的影响。有几个因素导致外科医生的可见度降低。这些因素反过来又影响了眼科检查的整体质量和手术结果。大流行期间使用个人防护装备可能是导致在对患者进行检查时遗漏相关发现的一个因素。特别是对于眼科医生来说,可视性和光学在患者的管理中起着至关重要的作用,并且一直受到仪器和外科医生水平修改的影响。
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How COVID-19 affected pivots of Ophthalmology? The optics and the eyes
The pandemic has forced the health-care system to adopt newer approach toward patient care. With the changing scenario of health-care delivery, ophthalmologists had to bring about several changes in the way, the patients are seen and operated on. Contact procedures were entirely restricted to emergencies while modifications were introduced to minimize the exposure of the surgeon. However, these modifications were introduced just keeping in mind the spread of infection. The probability that these modifications could affect the optics in ophthalmology is high and cannot be ruled out. The aim of the study was to highlight the effects of modifications introduced in ophthalmic equipment during the pandemic over the visibility for the surgeon and discuss its impact on patient care in ophthalmology. Thorough search of the literature on PubMed using keywords, visibility and personal protective equipment (PPE), fogging and PPE, face mask and fogging, aberrations and PPE, and surgeries and PPE were done. We found 35 articles which highlighted the effects on visibility with PPE and effects on eyes with prolonged wearing of masks. Several factors have contributed to reduction in visibility for the surgeon. These factors have, in turn, affected the overall quality of examination and surgical outcome in ophthalmology. The use of PPE during the pandemic could have been a contributory factor for missing relevant findings during examination of patients. For ophthalmologists in particular, the visibility and optics play a crucial role in the management of the patient and have been invariable affected by introduction of modifications at the instrument and surgeon level.
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