Precautions in ophthalmic practice in a hospital with the risk of COVID‐19: experience from China

Personal protective equipments Level of risk Procedures Protective equipments Low risk Indirect contact with suspected patients, consultation, inspection without examinations or performance procedures Gown, surgical mask, disposable cap Moderate risk Examination with slit lamp, funduscope, gonioscop...

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Bibliographic Details
Published in:Acta Ophthalmologica 2020-06, Vol.98 (4), p.e520-e521
Main Authors: Ma, Xiang, Lin, Jingrong, Fang, Shifeng
Format: Article
Language:English
Subjects:
Betacoronavirus
China - epidemiology
Coronavirus Infections - epidemiology
Coronavirus Infections - prevention & control
Coronavirus Infections - transmission
COVID-19
Eye Diseases - complications
Humans
Letter to the Editor
Letters to the Editor
Outpatients
Pandemics - prevention & control
Pneumonia, Viral - epidemiology
Pneumonia, Viral - prevention & control
Pneumonia, Viral - transmission
Risk Factors
SARS-CoV-2
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Summary:Personal protective equipments Level of risk Procedures Protective equipments Low risk Indirect contact with suspected patients, consultation, inspection without examinations or performance procedures Gown, surgical mask, disposable cap Moderate risk Examination with slit lamp, funduscope, gonioscope, ophthalmic ultrasound, UBM, fluorescence angiography, puncture, injection and laser therapy Water repellent gown, barrier apparel, surgical mask or N95 respirator, disposable cap, gloves, goggle or face shield, shoe covers High risk Specimen collection from the eye, intraocular surgery Water repellent gown, barrier apparel, N95 respirator, disposable cap, double gloves, goggle or face shield, shoe covers Disinfection of inspection equipments: SARS‐CoV‐2 is sensitive to UV and heat. Slit lamp, automatic refractor, corneal topography, OCT, fundus camera and fluorescein angiography should be cleaned with 75% ethanol or 3% hydrogen peroxide tampon. Appliances directly contacting with patients’ ocular surface, such as Goldmann applanation tonometer, gonioscope, specular microscope, ultrasound probe and UBM probe, should be soaked by 2% alkaline glutaraldehyde, washed by flowing water and then cleaned by 75% ethanol or 3% hydrogen peroxide tampon (Rutala 1996). Since microaerosol might be formed due to tear film dehiscence, the non‐contact ‘air‐puff’ tonometry should be placed in ventilated place, and the probe should be well disinfected every time after use (Britt et al. 1991).
ISSN:1755-375X
1755-3768
DOI:10.1111/aos.14436