In the past, most ophthalmic emergency departments were used to serve patients with eye trauma. Only serious diseases such as eyeball rupture, blindness, foreign objects entering the eyes, and ulcers belong to the emergency category. In recent years, eye trauma has shown a downward trend in ophthalmic acute diseases. Due to the explosive growth of myopia population and obvious population aging, the incidence rate of , which is related to high myopia and vitreous degeneration, has increased year by year.
timely surgical treatment can maximize the visual function of fresh retinal detachment from patients. html The most urgent need for patients, but the reality is that it takes at least two weeks for many patients to find out that they have retinal detachment to undergoing surgical treatment.
Fundus emergency room, why should you wait?
"vitrectomy" is widely used in the treatment of various complex vitreoretinal diseases. It is also one of the most complex fourth-level surgery in ophthalmology. Most of the primary hospitals in have the ability to carry out the development. Industry insiders introduced that the annual volume of glass surgery in Sichuan Province is about 20,000 units, of which the number of ophthalmology surgeries in public tertiary hospitals in the province accounts for about 70%, and the annual number of ophthalmology surgeries in a well-known public tertiary hospital accounts for more than 20%. The number of beds in
will affect the number of surgeries in public hospitals, and there may be no ordering when transmitted to the patient. data shows that when surgical instruments and medical theory foundations were relatively backward many years ago, fundus disease (retinal disease belongs to the category of fundus disease) usually stayed in the hospital for a week, first came in, a full body examination, and then observed for 1 to 2 days before the operation was started, and then observed after the operation. For example, in a large tertiary hospital, the ophthalmology department has 60 beds in the entire department, and only 15 beds are given to fundus diseases. This means that the hospital can only perform 15 fundus surgeries in a week, and the load capacity of the surgical patients is only so large.
It is understood that in order to solve the problem of limited surgical capabilities and patients waiting too long, 2-3 years ago, West China Hospital of Sichuan University and the ophthalmology department of Sichuan Provincial People's Hospital began to promote day surgery for fundus disease , which can reduce the patient's hospital time and increase the use of beds. However, day surgery has very high requirements for patients' own conditions, and also increases the risk of postoperative complications and untimely treatment. Moreover, many patients have to wait for beds after a series of examinations.
race against time, Aier speed up
Epidemiological survey shows that 3 retinal detachment patients in Chengdu have about 15,000 every year, and most of these patients urgently need timely surgery. It is normal for many patients to delay the optimal treatment time, but if misses the golden treatment opportunity for 72 hours, it will be difficult for the best doctor to achieve good treatment results.
▲ Cai Yu, director of the Department of Fundus Disease and Ophthalmology Trauma at Chengdu Aier Eye Hospital, was interviewed by
"There are two types of patients' "late". One is that middle-aged and elderly people think that they will have poor vision when they are older. The retina has been detached but they think they have myopia, presbyopia, cataract . They go to a grassroots hospital without fundus disease examination equipment. Once the examination is checked, there may be cataracts, and then the treatment is delayed. Another situation is that the patient knows that he has retinal detachment. The problem is, but I just want to go to a well-known hospital, or I don’t know which hospitals can not queue for retinal detachment surgery, and I can only wait in anxiety. "
" In order to save patients' vision, Chengdu Aier Eye Hospital has opened the '24-hour retinal detachment emergency surgery green channel ', which can perform 24-hour emergency surgery, which is the first fundus disease emergency green channel in Sichuan." Cai Yu said that ophthalmologists all know that retinal detachment treatment has a "72-hour golden treatment period". Our emergency green channel optimizes various processes. After arriving at the hospital, priority registration, examination, and diagnosis are given, and hospitalization is arranged according to the actual situation. The patients are allowed to be admitted to the hospital, examined and completed the operation within 24 hours, avoid further damage to the patient's eyes, and do their best to save the patient's vision.
▲ The "24-hour retinal detachment green channel" in the hospital of Chengdu Aier Eye Hospital reminds
"We have calculated that the average hospitalization time for ordinary fundus patients is 3.2 days, and the hospitalization time for patients with 24-hour emergency surgery will be shorter. "Cai Yu said.
24 hours guarding the light
"Ophthalmologists in general hospitals can clock in and get off work during normal time, and the doctors in our emergency team must be on standby 24 hours a day. " Cai Yu introduced that Chengdu Aier has specially prepared 14 beds for the use of patients with 24-hour emergency retinal detachment. When encountering particularly urgent patients, temporary surgeries are often added. 8 doctors and 9 nurses are working together to ensure the smooth flow of the passage.
It is understood that Cai Yu graduated from the Zhongshan Ophthalmology Center of Sun Yat-sen University and obtained a doctorate degree. He has been engaged in ophthalmology clinical work for 18 years and is good at the diagnosis and treatment of various fundus internal and surgical diseases, including retinal detachment. As the first ophthalmology department in the country for nine consecutive years, Zhongshan Ophthalmology Center has provided a large number of ophthalmology talents to the whole country and even the world. "Our Aier Group has a fundus department director group and a fundus doctor group. There are many well-known fundus disease experts and professors from all over the country. When encountering difficult fundus disease patients, we are accustomed to communicating and discussing in the group, and we can start consultations on difficult fundus diseases at any time. "Cai Yu said that has a large number of nationally renowned fundus experts to support it, which is also the confidence that our Chengdu Aier can ensure that the retinal detachment is well and orderly operates from the 24-hour green channel.
▲ Cai Yu performed retinal detachment and reduction surgery on patients admitted to the hospital within 24 hours
▲ Postoperative prone position allows the retinal to be reduced as soon as possible 3" Patients should enjoy the right to be healthy in their eyes, regardless of poverty or wealth. There are so many patients with retinal detachment who missed the best treatment time and regretted that we hope to turn on the ‘lamp’ every night to light up the retinal detachment patients all night. Chengdu Aier Eye Hospital's fundus emergency speedup has attracted industry attention. The '24-hour retinal detachment green channel for emergency surgery' is not a wish or slogan, but a promise of Chengdu Aier Eye Hospital to protect the light. "Hu Jianbin, director of Chengdu Aier Eye Hospital, said in an interview.
