Evaluation of Urgent Retinal Practice and Safety Measures for Physicians and Patients During COVID-19 Pandemic

Figures & data

Table 1 Number of Urgent Retina Cases Presented During Pandemic and Similar Periods Just Before and After the Pandemic

	Urgent Retina Conditions Presented to Our Hospital	Similar Period Just Before the Pandemic (15th December, 2019–15th February, 2020)	Period of the Pandemic (15th March–15th May, 2020)	Similar Period After the Start of Pandemic Recession (15th June–15th August 2020)	P value (Before and During the Pandemic)	P value (During and After the Pandemic)
Number of cases	RD with PVR < grade B	122	71	149	< 0.001	< 0.001
	RD with PVR > grade B	29	15	54	0.035	< 0.001
	TRD threatening or involving the fovea	84	45	109	0.001	< 0.001
	IOFB	23	11	27	0.04	0.009
	Endophthalmitis	17	7	18	0.04	0.028
	RD following globe injuries	27	12	34	0.016	0.001

Abbreviations: RD, retinal detachment; PVR, proliferative vitreoretinopathy; TRD, tractional retinal detachment; IOFB, intraocular foreign body.

Table 2 Questionnaire of Effect of Covid-19 Pandemic on the Retina Practice That Was Circulated to the Physicians

		Resident and Fellows	Attending Physicians and Professors
Gender	Male	54.84%	81.82%
	Female	45.16%	18.18%
Mean age ± standard deviation (years)		28 ± 2.13 years	52 ± 4.28 years
Wearing masks	Always	80.65%	95.45%
	Most of the time	19.35%	4.55%
	Rare	0%	0%
Hand hygiene	Always	100%	100%
	Most of the time	0%	0%
	Rare	0%	0%
Wearing gloves	Always	87.09%	90.9%
	Most of the time	12.91%	9.1%
	Rare	0%	0%
The period of hand washing	60 sec	96.77%	95.45%
	30 sec	3.23%	4.55%
	10 sec	0%	0%
How much you describe your fear to be infected?	Severe	90.32%	100%
	Moderate	9.68%	0%
	No fear at all	0%	0%
Implementing social distancing to patients and colleagues	Both of them	100%	100%
	Only patients	0%	0%
	Only doctors	0%	0%
If you feel that patient is infected	I will complete my clinical examination	100%	100%
	I will refuse to do clinical examination	0%	0%
	I will refer	0%	0%
How frequently you change your mask?	Once in the shift	100%	100%
	For every patient	0%	0%
	I do not use	0%	0%
Asking patients about COVID-19 symptoms before examination	Always	80.65%	95.45%
	Most of the time	18.35%	4.55%
	Rare	0%	0%
Do you give your patients the same time during examination as before?	Yes	0%	0%
	Little shorter time	74.19%	27.27%
	Huge difference	25.81%	72.73%

Table 3 Questionnaire of Effect of Covid-19 Pandemic on the Retina Practice That Was Circulated to a Sample of Patients

Gender	Male	62%
	Female	38%
Mean age ± standard deviation (years)		48 ± 13 years
Wearing masks	Always	41.5%
	Most of the time	26.85%
	Rare	31.65%
Hand hygiene	Always	34.5%
	Most of the time	44.57%
	Rare	20.93%
Wearing gloves	Always	9.14%
	Most of the time	18.36%
	Rare	72.5%
The period of hand washing	60 sec	0%
	30 sec	4.5%
	10 sec	95.5%
How much you describe your fear to be infected?	Severe	17.5%
	Moderate	62%
	No fear at all	20.5%
Implement social distancing to other patients and doctors	Both of them	100%
	Only patients	0%
	Only doctors	0%
If you feel that your doctor is infected	I let the doctor complete my clinical examination	34.5%
	I will refuse the clinical examination	65.5%
Do you feel that your doctor gives you the same time during examination as before?	Yes	0%
	Little shorter time	74.5%
	Huge difference	25.5%