关键词: Calidad asistencial Dry eye Oftalmología Ojo seco Ophthalmology Quality of care Telemedicina Telemedicine

Mesh : Humans Ophthalmology / methods COVID-19 Glaucoma / diagnosis Diabetic Retinopathy Blepharitis

来  源:   DOI:10.1016/j.oftale.2023.03.004

Abstract:
OBJECTIVE: Digital evolution represents an opportunity for ophthalmology to adapt to new care models. This study aimed to find out how the pandemic has modified the clinical practice and training activities of the ophthalmologist specialised in ocular surface, as well as to analyse emerging trends and needs.
METHODS: This study was carried out through an online survey. A committee of 3 specialists developed a questionnaire of 25 questions structured in: 1) Participant profile; 2) Impact of the pandemic on patient management and professional activities; 3) Trends and needs.
RESULTS: 68 clinical ophthalmologists participated. There was a high degree of agreement (90%) that the pandemic has delayed ophthalmological follow-up visits and diagnosis. The participants agreed that the frequency of patients with dry eye disease (75%), stye/chalazion (62%) and blepharitis (60%) has increased. According to 28%, remote monitoring of pathologies such as dry eye, glaucoma, diabetes, conjunctivitis, hyposphagmas, styes, etc., will be common, especially in the young population. This will be especially relevant in chronic or mild pathologies of the ocular surface, and in the follow-up of patients after cataract and diabetic retinopathy interventions.
CONCLUSIONS: During the pandemic, an increase in the incidence of certain ocular surface diseases has been perceived. The telematic follow-up of chronic or mild pathologies of the ocular surface entails the need to provide specific training for both the patient and the healthcare professional, in addition to screening and referral protocols that would optimise the flow of care.
摘要:
目的:数字化发展代表了眼科适应新护理模式的机会。本研究旨在了解大流行如何改变眼表专业眼科医生的临床实践和培训活动,以及分析新兴趋势和需求。
方法:本研究通过在线调查进行。由3名专家组成的委员会制定了一份包含25个问题的问卷,其结构如下:1)参与者概况;2)大流行对患者管理和专业活动的影响;3)趋势和需求。
结果:68名临床眼科医生参加。人们高度一致(90%)认为大流行推迟了眼科随访和诊断。参与者一致认为,干眼症患者的频率(75%),stye/chalazion(62%)和眼睑炎(60%)增加。28%的人说,对干眼症等病理的远程监测,青光眼,糖尿病,结膜炎,尿道疝,Styes,等。,将是常见的,尤其是在年轻人中。这在眼表的慢性或轻度病变中尤其相关,以及在白内障和糖尿病视网膜病变干预后患者的随访中。
结论:在大流行期间,人们已经意识到某些眼表疾病的发病率增加。眼表慢性或轻度病变的远程随访需要为患者和医疗保健专业人员提供特定培训,除了筛选和转诊方案可以优化护理流程。
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