All India Ophthalmological Society - Oculoplastics Association of India consensus statement on preferred practices in oculoplasty and lacrimal surgery during the COVID-19 pandemic

Abstract

Oculoplastic surgeries encompass both emergency surgeries for traumatic conditions and infectious disorders as well as elective aesthetic procedures. The COVID-19 pandemic has brought about a drastic change in this practice. Given the highly infectious nature of the disease as well as the global scarcity of medical resources; it is only prudent to treat only emergent conditions during the pandemic as we incorporate evidence-based screening and protective measures into our practices. This manuscript is a compilation of evidence-based guidelines for surgical procedures that oculoplastic surgeons can employ during the COVID-19 pandemic. These guidelines also serve as the basic framework upon which further recommendations may be based on in the future, as elective surgeries start being performed on a regular basis.

Impact of COVID-19 pandemic, national lockdown, and unlocking on an apex tertiary care ophthalmic institute

“…Guidelines recommended by national societies are being actively incorporated to assure equal and equitable delivery of good-quality eye-care to patients from all financial backgrounds. [ 3 18 19 20 21 22 23 24 25 ]…”

Guidelines for the management of ocular trauma during the COVID-19 pandemic

“…In addition to ophthalmic history and assessment, a general medical history would also have to be elicited using the COVID-19 questionnaire as shown by Ali et al . [ 1 ] If the patient has symptoms strongly suggestive of COVID-19, they should be screened for COVID-19, keeping in mind local municipal and state guidelines for testing; or carry out any further treatment at a higher center that is equipped to handle cases of COVID-19. Patients of ocular trauma who have symptoms suggestive of COVID-19 should also have an urgent physician's consult and if required, further imaging to rule out COVID-19.…”

“…Looking ahead, the COVID-19 pandemic has possibly changed the way medicine would be practiced in the foreseeable future. [ 1 2 ]…”

“…Globally, elective surgeries have been deferred. [ 1 ] However, ocular trauma in any form is always an emergency. While attending to ocular trauma cannot be deferred, there are a few changes that have to incorporated into our practices, specifically while treating ocular trauma.…”

COVID-19 pandemic and lacrimal practice: Multipronged resumption strategies and getting back on our feet

“…[ 4 5 ] This greatly enhances the risk of viral exposure from droplets or aerosols for the lacrimal surgeons and their staff. [ 6 ] This risk can be compounded by the face to face position with the patients during examinations or surgery, possible sneezing and coughing that can be induced by the procedures and the ability of the corona virus to survive on multiple surfaces for hours. [ 7 8 ]…”