无症状眼科手术患者术前covid-19 rt-pcr检测:来自两家三级转诊中心的经验

E. O. Tokuc, S. A. Seyyar, V. Karabaş, O. Saygılı, Kıvanç Güngör, Ahmet Burak Guray, Busra Yılmaz Tugan, Gizem Gurbostan
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引用次数: 0

摘要

目的:本研究旨在评估在两家三级转诊医院接受眼科手术的患者中无症状SARS-CoV-2病毒感染(COVID-19)的流行情况。材料和方法:本回顾性研究纳入了在科卡埃利大学和加济安泰普大学眼科[2020年9月1日至2020年12月15日(组1);2021年3月1日至2021年5月30日(组2)]接受眼科术前逆转录聚合酶链反应(RT-PCR)筛查的无COVID-19症状的患者。对视网膜、青光眼、儿童眼科及斜视、白内障及屈光手术及角膜科的手术及随访患者进行检查。结果:1组840例患者中有12例(1.4%)RT-PCR阳性,2组600例患者中有7例(1.1%)RT-PCR阳性。所有患者均无COVID-19症状。两组患者均以视网膜或白内障合并屈光手术为主(1组视网膜占29.2%,白内障合并屈光占57.0%,2组视网膜占31.3%,白内障合并屈光占54.5%)。1组7例(7/245,2.9%)和2组5例(5/188,2.6%)拟行视网膜手术的患者SARS-CoV-2 RT-PCR检测阳性。结论:眼科手术前进行COVID-19 RT-PCR检测的必要性、可用性和实用性因各机构的方案而异。由于难以控制术后并发症,建议在玻璃体视网膜手术和全身麻醉手术前进行COVID-19 RT-PCR检测。版权所有©2023加兹眼科基金会。版权所有。
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Preoperative covid-19 rt-pcr testing of asymptomatic patients for ophthalmic surgery: experience from two tertiary referral centers
Purpose: The aim of this study was to evaluate how prevalent asymptomatic SARS-CoV-2 virus infection (COVID-19) is among patients undergoing ophthalmic surgery at two tertiary referral hospitals. Material(s) and Method(s): This retrospective study included patients without COVID-19 symptoms who underwent preoperative screening using reverse transcription-polymerase chain reaction (RT-PCR) before ophthalmic surgery at the Kocaeli University and Gaziantep University departments of ophthalmology [between September 1, 2020, and December 15, 2020 (group 1);between March 1, 2021, and May 30, 2021 (group 2)]. Patients scheduled for surgery and followed up in the retina, glaucoma, pediatric ophthalmology and strabismus, cataract and refractive surgery, and cornea departments were examined. Result(s): RT-PCR was positive for SARS-CoV-2 in 12 (1.4%) of 840 patients in group 1 and 7 (1.1%) out of 600 patients in group 2. None of the patients were symptomatic of COVID-19. The majority of the patients were scheduled for retina or cataract and refractive surgery in both groups (group 1;retina: 29.2%, cataract and refractive: 57.0%, group-2;retina: 31.3%, cataract and refractive: 54.5%). SARS-CoV-2 RT-PCR testing was positive for seven patients in group 1 (7/245, 2.9%) and five patients in group 2 (5/188, 2.6%) who were scheduled for retinal surgery. Conclusion(s): The necessity, availability, and practicality of COVID-19 RT-PCR testing prior to ophthalmic surgeries varies depending on the protocols of each institution. COVID-19 RT-PCR testing is suggested especially before vitreoretinal surgeries and general anesthesia procedures, because of the difficulty in managing postoperative complications.Copyright © 2023 Gazi Eye Foundation. All rights reserved.
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