Post-COVID rehabilitation is necessary for patients even at the time of stay in a medical facility, and 20-40% of patients who have recovered will suffer from post-COVID syndrome, a number of experts voiced this opinion during a press conference at Interfax-Ukraine. “Out of 100% of people who are sick with COVID-19, some 20% need hospitalization. Some of these patients need hospitalization in intensive care units, as well as mechanical ventilation. Rehabilitation for such patients is necessary even in the intensive care unit, especially for patients with artificial lung ventilation. Rehabilitation is also important for patients who move from the intensive care unit to the hospital,” Vadym Kerestey, the head of the rehabilitation department of the Adonis network of medical clinics, said.
At the same time, the expert emphasized that currently in Ukraine, very few rehabilitation measures are carried out in intensive care units, and rehabilitation centers do not cover all needs.
He noted that the majority of patients who had been ill in a mild form also need post-COVID rehabilitation, since patients have impairments from different systems. Patients often have tachycardia, lung problems, reduced ability to work, acute disorders of cerebral circulation, thrombosis, which increases the risk of strokes, disorders of the nervous system.
In addition, the country also has a demand for post-COVID rehabilitation among foreigners, the expert emphasized.
Physical therapy is especially important, he said.
“Physical therapy will accelerate the recovery of patients. Physical therapists teach patients to move, breathe correctly, determine the physical condition and the body’s ability to exercise,” Kerestey said.
The head of the department of inflammatory eye pathologies and microsurgical treatment of their consequences of the Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Oleksandra Zborovska, in turn, noted that patients after coronavirus also need to undergo rehabilitation with ophthalmologists.
“From the point of view of an ophthalmologist, everyone needs rehabilitation, even those who were not sick, since we were all on isolation, which significantly increased the time of contact with gadgets. There is evidence that an increase in myopia in children is recorded. Therefore, visual hygiene and a dosage visual load regimen are of great importance. Regarding post-COVID rehabilitation, patients come with different complaints and need to be observed by a doctor,” she said.
At the same time, Vitaliy Usenko, the medical adviser to Farmak, noted that, according to the latest data, 20-40% of patients who have recovered will suffer from post-COVID syndrome.
“Post-COVID syndrome has been included in the international classifier of diseases. The Ministry of Health of Ukraine has signed an order with a protocol for rehabilitation care for patients with coronavirus disease. It is impossible to implement the protocol with the help of one health system, and it is very good that rehabilitation services appear,” he added.
According to Usenko, during post-COVID rehabilitation, drugs that are used in the treatment of COVID-19 can be used, but only as directed by a doctor.
The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine (Odesa), after the end of the coronavirus (COVID-19) pandemic, intends to resume work on the creation of branches in other countries, Director of the institute Natalia Pasechnikova has said.
“The demand for ophthalmological medical services is growing all over the world. The lack of highly qualified specialists has created the preconditions for the signing of memorandums on the establishment of branches of the institute in other countries [currently in China and Bulgaria]. Unfortunately, this issue is still difficult due to the pandemic. However, I hope that after humanity cope with the pandemic, we will be able to resume these projects,” she said in an interview with Interfax-Ukraine.
According to Pasechnikova, the institute receives offers of cooperation and participation in global international research.
“We have signed agreements on cooperation with organizations and companies in Israel, Switzerland, Germany, Mexico, India, and Hawaii. We cooperate with Linköping University [Sweden] in the development of an artificial cornea; we participate in a global study conducted by the National Institute of Health [U.S.] in the field of research of hereditary ophthalmological diseases and the development of technologies for their diagnosis,” she said.
The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine (Odesa) for the first time in the world conducted a unique operation to remove a large intraocular hemangioma of the choroid.
According to a press release of the institute, the operation was performed at the end of 2020 on a 21-year-old patient due to the impossibility of using non-surgical methods of treatment because of the large tumor size (12.2 mm x 16.1 mm, bulging into the vitreous humor – 6 mm), which continued to grow.
“Understanding what the loss of an eye would mean for a young active girl, both from a cosmetic and psychological point of view, the doctors of the Filatov Institute offered the patient an operation,” the press release said.
To reduce the risk of bleeding, the specialists of the institute used their unique development – the method of high-frequency welding of biological tissues in ophthalmology, developed jointly with the Paton Institute of Electric Welding of the National Academy of Sciences of Ukraine. They also developed the tools necessary for the interventions.
The operation was carried out by one of the authors of the method, Doctor of Medical Sciences Mykola Umanets. During the operation, which lasted several hours, each dissected vessel was “welded” to prevent bleeding.
“When the patient came for a check-up a month later, the doctors were not only convinced that they had managed to save the eye, but also revealed the appearance of her “silhouette vision,” which was not there before the operation,” the press release said.
At present, the institute’s specialists are preparing publications for world-famous ophthalmological editions. The video filming made during the operation will allow presenting a unique achievement at the world conferences and congresses.
Hemangioma is benign neoplasms that affect the blood vessels of a person in various parts of the body. In the case of formation in the choroid of the eye, they do not threaten the patient’s life, however, they are accompanied by a significant decrease in vision and can cause the development of serious complications, such as retinal detachment, hemorrhage into the eye cavity, increased intraocular pressure (glaucoma).
Currently, there are a number of treatment methods for this pathology, aimed at stopping the growth and destruction of the tumor and are effective in the case of small formations. The only attempt to surgically remove an intraocular hemangioma recorded by the world ophthalmological community is an operation performed in 2019 by Italian ophthalmologist Barbara Parolini. In that case, the tumor was small. In the case of a large lesion and/or its unsuccessful location, surgical removal of intraocular hemangiomas is not performed due to a very high risk of bleeding and a lack of effective methods to stop it. Most often, the only way to solve the problem is to remove the eye.