Real-world vitreoretinal practice patterns during the 2020 COVID-19 pandemic: a nationwide, aggregated health record analysis

Curr Opin Ophthalmol. 2020 Sep;31(5):427-434. doi: 10.1097/ICU.0000000000000692.

Abstract

Purpose of review: The COVID-19 pandemic has posed an unprecedented challenge to the healthcare community. To reduce disease transmission, national regulatory agencies temporarily recommended curtailment of all nonurgent office visits and elective surgeries in March 2020, including vitreoretinal outpatient care in the USA. The effect of these guidelines on utilization of vitreoretinal care has not been explored to date.

Recent findings: Retinal outpatient visits, new patient visits, intravitreal antivascular endothelial growth factor injections and in-office multimodal retinal imaging has seen a significant decline in utilization in the early phase of the pandemic. Intravitreal injections were performed at a comparatively higher rate than office visits. Utilization appeared to steadily increase in April 2020. Telemedicine visits, enabled by new national legislation for all areas of medicine, have been adopted to a modest degree by the retina community.

Summary: In-office retinal care declined in response to the COVID-19 pandemic and national regulatory guidelines limiting nonurgent care. These trends in practice patterns and care utilization may be of interest to vitreoretinal providers and all ophthalmologists at large.

Publication types

  • Review

MeSH terms

  • Ambulatory Care / statistics & numerical data
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Databases, Factual
  • Delivery of Health Care / statistics & numerical data
  • Electronic Health Records / statistics & numerical data
  • Health Services Research
  • Humans
  • Pandemics / statistics & numerical data*
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Pneumonia, Viral / epidemiology*
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Retinal Diseases* / diagnosis
  • Retinal Diseases* / therapy
  • SARS-CoV-2
  • Telemedicine / statistics & numerical data
  • United States / epidemiology
  • Vitreous Body / pathology*