Abstract | BACKGROUND: The COVID-19 pandemic has significantly changed practice of medicine and patient care worldwide. The impact of the pandemic on patients with uveitis is unknown. We developed the COVID-19 Practice Patterns Study Group to evaluate the effect of the pandemic on uveitis patient care. METHODS: This is a multicentre, cross-sectional survey of uveitis specialists practising worldwide. A web-based survey was distributed through the mailing lists of international uveitis societies to assess modifications in patient care, and use of immunomodulatory therapies (IMTs),aswell as considerations regarding COVID-19 vaccination. RESULTS: A diverse group consisting of 187 uveitis specialists from six continents participated in this survey. Most of these experts noted a disruption in clinical management of patients, including clinic closures or decrease in volume, patients missing in-person visits due to the fear of infection and difficulties obtaining laboratory testing. Most participants initiated (66.8%) and continued (93.3%) IMTs based on clinical presentation and did not modify their use of immunosuppressives. In cases of reported exposure to COVID-19 infection, most participants (65.3%) recommended no change in IMTs. However, 73.0% of the respondents did recommend holding all or select IMTs in case of COVID-19 infection. COVID-19 vaccine was recommended universally by almost all the specialists and 52% stated that they would counsel patients regarding the decreased immunogenicity and effectiveness of the vaccine in immunocompromised patients. CONCLUSIONS:
Uveitis patient care has changed significantly since the beginning of the pandemic. The recommendations will continue to evolve as new data on IMTs and vaccination become available.
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Authors | Alexander F Vu, Shilpa Kodati, Phoebe Lin, Bahram Bodaghi, Parisa Emami-Naeini, COVID-19 Practice Patterns Study Group |
Journal | The British journal of ophthalmology
(Br J Ophthalmol)
Vol. 107
Issue 6
Pg. 790-794
(06 2023)
ISSN: 1468-2079 [Electronic] England |
PMID | 35074784
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
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Copyright | © Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ. |
Chemical References |
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Topics |
- Humans
- COVID-19
(epidemiology)
- COVID-19 Vaccines
- Pandemics
(prevention & control)
- Cross-Sectional Studies
- Uveitis
(diagnosis)
- Patient Care
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