COVID-19 impact on retinal detachment in Germany: seasonal peaks persist and shifts in surgical trends.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

International Ophthalmology Pub Date : 2025-09-01 DOI:10.1007/s10792-025-03706-z

Ahmad Samir Alfaar, Efstathios Vounotrypidis, Armin Wolf

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引用次数: 0

Abstract

Purpose: This study investigated how the COVID-19 pandemic coincided with changes in incidence, seasonality, and surgical management of rhegmatogenous retinal detachment (RRD) and tractional retinal detachment (TRD) in Germany.

Methods: We performed an observational, retrospective analysis using data from the Diagnosis-Related Group database, covering 116,386 retinal detachment admissions between January 2019 and December 2022. RRD (ICD-10 H33.0) and TRD (ICD-10 H33.4) cases were examined separately. Seasonal decomposition and correlation analyses were applied to identify trends in admission numbers, surgical choices, and reoperations before and after the onset of COVID-19.

Results: A total of 96,620 RRD and 19,766 TRD admissions were analyzed. Post-pandemic, RRD decreased by 8.5%, whereas TRD declined by 2.9%. Despite disruptions, established seasonal peaks remained evident, with RRD peaking in July and TRD in March and August. A negative correlation between COVID-19 deaths and RRD cases suggested a temporal association that may reflect barriers to timely care during pandemic peaks. Surgical practice shifted toward more definitive vitrectomy approaches, and reoperation rates for RRD rose slightly from 12.1 to 12.9%.

Conclusion: The pandemic correlated with reduced RRD admissions, smaller declines in TRD, and persistent seasonality in Germany. These findings underscore the importance of adaptive healthcare strategies that preserve timely surgical interventions and resource allocation for sight-threatening conditions during public health crises.

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COVID-19对德国视网膜脱离的影响：季节性高峰持续存在，手术趋势发生变化。

目的：本研究调查了COVID-19大流行与德国孔源性视网膜脱离（RRD）和牵拉性视网膜脱离（TRD）的发病率、季节性和手术治疗变化的关系。方法：我们使用来自诊断相关组数据库的数据进行观察性回顾性分析，涵盖2019年1月至2022年12月期间116,386例视网膜脱离入院患者。RRD （ICD-10 H33.0）和TRD （ICD-10 H33.4）分别进行检查。采用季节分解和相关分析来确定COVID-19发病前后入院人数、手术选择和再手术的趋势。结果：共分析了96,620例RRD和19,766例TRD入院。大流行后，RRD下降8.5%，TRD下降2.9%。尽管受到干扰，但既定的季节性高峰仍然明显，rd在7月达到峰值，TRD在3月和8月达到峰值。COVID-19死亡与RRD病例之间的负相关表明，存在一种时间相关性，可能反映了在大流行高峰期间及时护理的障碍。手术实践转向了更明确的玻璃体切除方法，RRD的再手术率从12.1%略微上升到12.9%。结论：大流行与德国RRD入院人数减少、TRD下降幅度较小以及持续的季节性相关。这些发现强调了适应性医疗保健策略的重要性，即在公共卫生危机期间，为视力威胁条件保留及时的手术干预和资源分配。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

451

期刊介绍： International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.