How to operationalise human rights for Covid-19 measures

Bibliographic Data

ID21880512
AuthorsNjål Høstmælingen (0000-0002-6714-6405, Norwegian Institute of Public Health, corresponding author), Heidi Beate Bentzen (0000-0001-8285-818X, University of Oslo)
Year2020
Volume5
Issue7
Pagese003048
Publication date2020-07-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-003048
PMID32646855
OpenAlexW3042074484
LanguageEN
Citations received4
References cited6

Aim To describe a novel technique of sclerotomy construction to facilitate 20-gauge transconjunctical sutureless vitrectomy (TSV) along with the evaluation of the wound integrity. Methods The surgical technique is described. One hundred consecutive patients who underwent TSV were evaluated for wound leaks, postoperative hypotony, endophthalmitis and any other complication related to surgery. The sclerotomies of eight patients (24 ports) were analysed by imaging with anterior segment optical coherence tomography immediately after surgery, and on the first postoperative day and after the first postoperative month. Results 104 eyes of 100 patients were evaluated with a mean follow-up of 9.6 months. All cases underwent surgery with standard 20-gauge instrumentation and vitrectomy techniques. Five sclerotomies were found to leak at the end of surgery, requiring a suture. Anterior segment optical coherence tomography images were obtained from eight eyes with good apposition of the tunnel noted in all the cases. Mean intraocular pressure was 18.7 mm Hg on the first postoperative day. One patient had hypotony without leak and this patient had pre-existing hypotony due to chronic panuveitis. There was no instance of postoperative endophthalmitis. Conclusions This technique of 20-gauge TSV achieves good wound apposition with a low incidence of complications while using standard 20-gauge instrumentation and vitrectomy techniques

Apposition · Endophthalmitis · Intraocular pressure · Macular hole · Visual acuity · Vitrectomy · COVID-19 Digital Contact Tracing · Healthcare Decision-Making and Restraints · Medicine · Retinal and Optic Conditions · Internal Medicine · Ophthalmology · Surgery

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