{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T22:01:50Z","timestamp":1766181710429,"version":"3.40.5"},"reference-count":31,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Purpose<\/jats:title>\n<jats:p>To investigate the impact on services for rhegmatogenous retinal detachment (RRD) patients during the COVID-19 (2019coronal virus disease) pandemic in one tertiary center in Beijing.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A retrospective cohort study. Two reviewed consecutive RRD patients cohorts of the same length were treated during two different periods: the COVID-19 pandemic and the pre-COVID-19 group. The characteristics of patients, surgery, anesthesia methods, length of hospital stay, and the latest follow-up were recorded and analyzed.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>There were 79 patients in the COVID-19 pandemic group with a 55.9% reduction (179). Compared to patients in the pre-COVID-19, patients in the COVID-19 pandemic had a longer presurgical waiting times (28days, 3days, p&lt;0.001), a higher percentage of patients with presurgical poor (less than 0.02) visual acuity (55.7%, 32.4%, p = 0.009), and a higher percentage of patients with presurgical choroidal detachment (34.2%, 19.6%, p = 0.01). There was no significant difference in the severity of presurgical proliferative vitreoretinopathy between the two groups (p = 0.64). Surgeries on pathological myopia patients with macular hole retinal detachment were postponed in the COVID-19 pandemic. There was a lower percentage of scleral buckling (27.8%, 41.3%, p = 0.02) and a lower rate of subretinal fluid drainage (45.4%, 75.7%, p = 0.01) in the COVID-19 pandemic. There was no significant difference in either postoperative visual acuity (p = 0.73) or the rate of single-surgery retinal attachment (p = 1) between the two groups. Patients in the COVID-19 pandemic had a shorter length of hospital stay (3hours, 35 hours, p&lt;0.001), and a lower percentage of patients received general anesthesia (48.1%, 83.2%, p&lt;0.001). None was infected with COVID-19 disease during the pandemic.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The COVID-19 pandemic lockdown caused prolonged presurgical waiting times, shorter hospital stays, less general anesthesia, and a significant reduction of RRD surgeries. The RD were more complicated, the surgeons were more conservative on procedures and patients selection, while the surgery outcomes were comparable.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0254751","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T18:50:26Z","timestamp":1629399026000},"page":"e0254751","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":11,"title":["The impact of the COVID-19 pandemic lockdown on rhegmatogenous retinal detachment services\u2014Experiences from the Tongren eye center in Beijing"],"prefix":"10.1371","volume":"16","author":[{"given":"Jipeng","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2049-9147","authenticated-orcid":true,"given":"Meng","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haicheng","family":"She","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aman","family":"Chandra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2021,8,19]]},"reference":[{"key":"pone.0254751.ref001","unstructured":"Ophthalmology AAo. Recommendations for urgent and nonurgent patient care. 2020."},{"key":"pone.0254751.ref002","unstructured":"(ASRS) ASoRS. American Society of Retina Specialists (ASRS) Member Alert Regarding the COVID-19 Pandemic. 2020."},{"key":"pone.0254751.ref003","unstructured":"Surgeons ACo. COVID-19: Guidance for Triage of Non-Emergent Surgical Procedures. 2020."},{"issue":"2","key":"pone.0254751.ref004","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1159\/000310766","article-title":"The natural history of untreated rhegmatogenous retinal detachment","volume":"211","author":"M Ivanisevi\u0107","year":"1997","journal-title":"Ophthalmologica"},{"issue":"6","key":"pone.0254751.ref005","doi-asserted-by":"crossref","first-page":"328","DOI":"10.3928\/23258160-20200603-03","article-title":"Timing and Reoperation Rate of Rhegmatogenous Retinal Detachments Occurring During Major Ophthalmology Meetings","volume":"51","author":"D Vail","year":"2020","journal-title":"Ophthalmic Surg Lasers Imaging Retina"},{"issue":"1","key":"pone.0254751.ref006","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s13017-020-00314-3","article-title":"Emergency general surgery in Italy during the COVID-19 outbreak: first survey from the real life.","volume":"15","author":"A Patriti","year":"2020","journal-title":"World J Emerg Surg"},{"issue":"5","key":"pone.0254751.ref007","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1089\/end.2020.0342","article-title":"Urologic Surgery and COVID-19: How the Pandemic Is Changing the Way We Operate","volume":"34","author":"JE Steward","year":"2020","journal-title":"J Endourol"},{"key":"pone.0254751.ref008","article-title":"Clinical Presentation of Rhegmatogenous Retinal Detachment during the COVID-19 Pandemic: A Historical Cohort Study","author":"LG Patel","year":"2020","journal-title":"Ophthalmology"},{"key":"pone.0254751.ref009","first-page":"1","article-title":"Delayed presentation and increased prevalence of proliferative vitreoretinopathy for primary rhegmatogenous retinal detachments presenting during the COVID-19 pandemic lockdown","author":"M Awad","year":"2020","journal-title":"Eye (Lond)"},{"issue":"4","key":"pone.0254751.ref010","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1001\/archopht.1974.03900060264003","article-title":"Choroidal detachment associated with primary retinal detachment","volume":"91","author":"MH Seelenfreund","year":"1974","journal-title":"Arch Ophthalmol"},{"issue":"6","key":"pone.0254751.ref011","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1097\/IAE.0000000000001348","article-title":"WHAT IS THE FUNDAMENTAL NATURE OF PATHOLOGIC MYOPIA?","volume":"37","author":"K Ohno-Matsui","year":"2017","journal-title":"Retina"},{"issue":"3","key":"pone.0254751.ref012","first-page":"Cd009562","article-title":"Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments","volume":"3","author":"L Znaor","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"pone.0254751.ref013","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s00417-017-3880-x","article-title":"Primary rhegmatogenous retinal detachment: risk factors for macular involvement","volume":"256","author":"J Potic","year":"2018","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"pone.0254751.ref014","doi-asserted-by":"crossref","first-page":"1605","DOI":"10.2147\/OPTH.S153717","article-title":"Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives","volume":"12","author":"SW Park","year":"2018","journal-title":"Clinical ophthalmology (Auckland, NZ)"},{"issue":"1","key":"pone.0254751.ref015","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S0039-6257(98)00023-X","article-title":"Proliferative vitreoretinopathy: an overview","volume":"43","author":"JC Pastor","year":"1998","journal-title":"Surv Ophthalmol"},{"issue":"6","key":"pone.0254751.ref016","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1016\/j.ajo.2004.02.008","article-title":"Prevalence and risk factors for proliferative vitreoretinopathy in eyes with rhegmatogenous retinal detachment but no previous vitreoretinal surgery","volume":"137","author":"W Tseng","year":"2004","journal-title":"Am J Ophthalmol"},{"issue":"1","key":"pone.0254751.ref017","first-page":"18","article-title":"Primary Repair of Moderate Severity Rhegmatogenous Retinal Detachment: A Critical Decision-Making Algorithm","volume":"5","author":"R Velez-Montoya","year":"2016","journal-title":"Med Hypothesis Discov Innov Ophthalmol"},{"issue":"9","key":"pone.0254751.ref018","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1136\/bjo.2010.190306","article-title":"Surgical failure following primary retinal detachment surgery by vitrectomy: risk factors and functional outcomes","volume":"95","author":"L Wickham","year":"2011","journal-title":"Br J Ophthalmol"},{"issue":"7","key":"pone.0254751.ref019","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1097\/IAE.0000000000000094","article-title":"Characteristics of rhegmatogenous retinal detachment and their relationship to success rates of surgery","volume":"34","author":"TH Williamson","year":"2014","journal-title":"Retina"},{"key":"pone.0254751.ref020","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1186\/s12886-016-0319-9","article-title":"Risk factors for choroidal detachment following rhegmatogenous retinal detachment in a chinese population","volume":"16","author":"Y Yu","year":"2016","journal-title":"BMC Ophthalmol"},{"issue":"10","key":"pone.0254751.ref021","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1097\/IAE.0b013e3182561f7c","article-title":"Quantitative analysis of rhegmatogenous retinal detachment associated with choroidal detachment in Chinese using UBM","volume":"32","author":"Z Li","year":"2012","journal-title":"Retina"},{"key":"pone.0254751.ref022","doi-asserted-by":"crossref","first-page":"2213","DOI":"10.2147\/OPTH.S177594","article-title":"Relationships between retinal break locations and the shapes of the detachments","volume":"12","author":"I Yoshida","year":"2018","journal-title":"Clin Ophthalmol"},{"issue":"8","key":"pone.0254751.ref023","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1007\/s00417-017-3696-8","article-title":"Risk of progression in macula-on rhegmatogenous retinal detachment","volume":"255","author":"J Callizo","year":"2017","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"issue":"9","key":"pone.0254751.ref024","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1016\/j.ophtha.2014.03.012","article-title":"Clinical variables associated with failure of retinal detachment repair: the European vitreo-retinal society retinal detachment study report number 4","volume":"121","author":"RA Adelman","year":"2014","journal-title":"Ophthalmology"},{"issue":"3","key":"pone.0254751.ref025","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1111\/aos.13295","article-title":"Primary rhegmatogenous retinal detachment\u2014surgical methods and anatomical outcome","volume":"95","author":"M Haugstad","year":"2017","journal-title":"Acta Ophthalmol"},{"issue":"3","key":"pone.0254751.ref026","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1080\/02713683.2018.1540705","article-title":"Anatomic Outcomes and Prognostic Factors of Vitrectomy in Patients with Primary Rhegmatogenous Retinal Detachment Associated with Choroidal Detachment","volume":"44","author":"Y Yu","year":"2019","journal-title":"Curr Eye Res"},{"issue":"2","key":"pone.0254751.ref027","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1038\/s41433-019-0683-9","article-title":"A 50-year review of minimal extraocular surgery for retinal detachment: five hurdles had to be overcome for its acceptance","volume":"34","author":"I Kreissig","year":"2020","journal-title":"Eye (Lond)"},{"issue":"3","key":"pone.0254751.ref028","first-page":"106","article-title":"Drainage of subretinal fluid during scleral buckling surgery for rhegmatogenous retinal detachment","volume":"36","author":"R Malagola","year":"2015","journal-title":"G Chir"},{"issue":"9","key":"pone.0254751.ref029","doi-asserted-by":"crossref","first-page":"1704","DOI":"10.1097\/IAE.0b013e31826b671c","article-title":"Surgical management of retinal detachment because of macular hole in highly myopic eyes","volume":"32","author":"E Ortisi","year":"2012","journal-title":"Retina"},{"issue":"12","key":"pone.0254751.ref030","doi-asserted-by":"crossref","first-page":"2347","DOI":"10.1097\/IAE.0000000000001489","article-title":"OVERVIEW OF THE COMPLICATIONS OF HIGH MYOPIA.","volume":"37","author":"Y Ikuno","year":"2017","journal-title":"Retina"},{"issue":"11","key":"pone.0254751.ref031","doi-asserted-by":"crossref","first-page":"1743","DOI":"10.1038\/s41433-018-0166-4","article-title":"The management of macular hole retinal detachment and macular retinoschisis in pathological myopia; a UK collaborative study","volume":"32","author":"H Laviers","year":"2018","journal-title":"Eye (Lond)"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0254751","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T18:50:52Z","timestamp":1629399052000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0254751"}},"subtitle":[],"editor":[{"given":"Demetrios G.","family":"Vavvas","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,8,19]]},"references-count":31,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,8,19]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0254751","relation":{},"ISSN":["1932-6203"],"issn-type":[{"type":"electronic","value":"1932-6203"}],"subject":[],"published":{"date-parts":[[2021,8,19]]}}}