Hybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic

Hamzah Aweidah,1 Khaled Safadi,1 Alan Jotkowitz,2 Itay Chowers,1,* Jaime Levy1,* 1Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel; 2Department of Internal Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel*These auth...

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Autores principales:	Aweidah H, Safadi K, Jotkowitz A, Chowers I, Levy J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	covid-19 telemedicine ophthalmology intravitreal injections hybrid telehealth medical retina clinic. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e71618eb45d4497181b6538a3368c5df
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spelling	oai:doaj.org-article:e71618eb45d4497181b6538a3368c5df2021-12-02T12:07:53ZHybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic1177-5483https://doaj.org/article/e71618eb45d4497181b6538a3368c5df2020-10-01T00:00:00Zhttps://www.dovepress.com/hybrid-telehealth-medical-retina-clinic-due-to-provider-exposure-and-q-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hamzah Aweidah,1 Khaled Safadi,1 Alan Jotkowitz,2 Itay Chowers,1,* Jaime Levy1,* 1Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel; 2Department of Internal Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel*These authors contributed equally to this workCorrespondence: Jaime LevyDepartment of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, IsraelEmail levjaime@gmail.comObjective: To present our hybrid telehealth medical retina clinic service with intravitreal injections (IVI) treatment as a safe alternative to in-person visits and examination during COVID-19 pandemic disease.Methods: Due to exposure to a COVID-19 positive retina fellow, our retina service, in quarantine, evaluated patients’ medical files and retinal scans using a telemedicine approach. A different protocol for patients coming for IVI during the COVID-19 pandemic was established for IVI administration.Results: During the 14-day quarantine period (between March 18th and March 31st 2020), the hybrid telehealth medical retina clinic performed 523 IVI to 394 patients with a mean age ± SD 70.96 ± 14.4 years. IVI were administered for neovascular age-related macular degeneration in 50.5% of the cases (199 patients), diabetic macular edema in 21.3% (84 patients), retinal vein occlusion in 17.5% (69 patients), and 10.7% for other retinal pathologies (42 patients). No ocular or systemic complications were observed.Conclusion: During disasters and pandemics, IVI can be provided safely using a hybrid telehealth medical retina clinic approach but only in the appropriate patient and health care system.Keywords: COVID-19, telemedicine, ophthalmology, intravitreal injections, hybrid telehealth medical retina clinicAweidah HSafadi KJotkowitz AChowers ILevy JDove Medical Pressarticlecovid-19telemedicineophthalmologyintravitreal injectionshybrid telehealth medical retina clinic.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 3421-3426 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 telemedicine ophthalmology intravitreal injections hybrid telehealth medical retina clinic. Ophthalmology RE1-994
spellingShingle	covid-19 telemedicine ophthalmology intravitreal injections hybrid telehealth medical retina clinic. Ophthalmology RE1-994 Aweidah H Safadi K Jotkowitz A Chowers I Levy J Hybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic
description	Hamzah Aweidah,1 Khaled Safadi,1 Alan Jotkowitz,2 Itay Chowers,1,* Jaime Levy1,* 1Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel; 2Department of Internal Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel*These authors contributed equally to this workCorrespondence: Jaime LevyDepartment of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, IsraelEmail levjaime@gmail.comObjective: To present our hybrid telehealth medical retina clinic service with intravitreal injections (IVI) treatment as a safe alternative to in-person visits and examination during COVID-19 pandemic disease.Methods: Due to exposure to a COVID-19 positive retina fellow, our retina service, in quarantine, evaluated patients’ medical files and retinal scans using a telemedicine approach. A different protocol for patients coming for IVI during the COVID-19 pandemic was established for IVI administration.Results: During the 14-day quarantine period (between March 18th and March 31st 2020), the hybrid telehealth medical retina clinic performed 523 IVI to 394 patients with a mean age ± SD 70.96 ± 14.4 years. IVI were administered for neovascular age-related macular degeneration in 50.5% of the cases (199 patients), diabetic macular edema in 21.3% (84 patients), retinal vein occlusion in 17.5% (69 patients), and 10.7% for other retinal pathologies (42 patients). No ocular or systemic complications were observed.Conclusion: During disasters and pandemics, IVI can be provided safely using a hybrid telehealth medical retina clinic approach but only in the appropriate patient and health care system.Keywords: COVID-19, telemedicine, ophthalmology, intravitreal injections, hybrid telehealth medical retina clinic
format	article
author	Aweidah H Safadi K Jotkowitz A Chowers I Levy J
author_facet	Aweidah H Safadi K Jotkowitz A Chowers I Levy J
author_sort	Aweidah H
title	Hybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic
title_short	Hybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic
title_full	Hybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic
title_fullStr	Hybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic
title_full_unstemmed	Hybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic
title_sort	hybrid telehealth medical retina clinic due to provider exposure and quarantine during covid-19 pandemic
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/e71618eb45d4497181b6538a3368c5df
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Hybrid Telehealth Medical Retina Clinic Due to Provider Exposure and Quarantine During COVID-19 Pandemic

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