Evolving consensus on managing vitreo-retina and uvea practice in post-COVID-19 pandemic era

Gupta, Vishali; Anand, Ravi; Narayanan, Raja; Chawla, Suraj; Kumar, Atul; Palanivelu, M.; Muralidhar, Nikhil; Jayadev, Chaitra; Pappuru, Rajeev Reddy; Khatri, M; Agarwal, Manisha; Aurora, Ajay; Bhende, Pramod; Bhende, Muna; Bawankule, Prashant K; Rishi, Pukhraj; Vinekar, Anand; Trehan, Hemant; Biswas, Jyotirmay; Agarwal, Rupesh; Natarajan, Sundaram; Verma, Lalit; Ramasamy, Kim; Giridhar, Anantharam; Rishi, Ekta; Talwar, Dinesh; Pathangey, Avinash; Azad, Rajvardhan; Honavar, Santosh G

doi:10.4103/ijo.ijo_1404_20

Cited by 32 publications

(45 citation statements)

References 17 publications

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“…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 ]…”

Section: Discussionmentioning

confidence: 99%

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

Agarwal

Sharma

Patil

et al. 2020

Indian J Ophthalmol

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Section: Discussionmentioning

confidence: 99%

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

Agarwal

Sharma

Patil

et al. 2020

Indian J Ophthalmol

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“…The All India Ophthalmological Society (AIOS) and Indian Journal of Ophthalmology (IJO) have been providing timely guidelines to ophthalmologists to deal with COVID-19. [ 6 7 8 9 10 ] The essence of it all is the unfailingly meticulous practice of physical distancing, hygiene, and universal precautions to protect the workforce and the patients. The central government guidelines currently allow us (except in designated containment zones) to routinely see patients and perform even non-emergency surgeries including cataracts.…”

Section: Reopening Ophthalmology Practice: Universal Precaumentioning

confidence: 99%

“…Specific measures to be taken at the point-of-entry, waiting room, out-patient clinic, procedure room and operation theater constitute the new normal in our ophthalmology practice. [ 6 7 8 9 10 ] If you are a facility that admits patients for surgery, it is time to completely move over to daycare surgeries. The price that we pay to regain and maintain the patient volume would be in terms of an increased financial burden to enforce the safety norms, extended work hours and reduced throughput to maintain optimal physical distancing.…”

Section: Reopening Ophthalmology Practice: Universal Precaumentioning

confidence: 99%

Navigating the new normal in ophthalmology

Honavar

2020

Indian J Ophthalmol

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“…[51] We do have established guidelines for re-starting our ophthalmology as well as subspecialty practice to guide us during and even after the lockdown period. [52] Teleconsultations, prebooked appointments, triage outside the eye clinics, home dilation, slit lamp and face shields, masks worn by the patient, as well as the treating doctor should be the new normal. Compared to social restrictions, prompt detection, isolation of cases, proper quarantine, and social distancing seems more effective in controlling outbreak.…”

Section: Effective Mitigation Strategiesmentioning

confidence: 99%

Coronavirus disease in ophthalmology practice: Current scenario; available evidence; and its implications

Kumari¹,

Kaur²,

Sukhija³

et al. 2020

cleverjournal

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Severe acute respiratory syndrome coronavirus 2 causes a highly contagious coronavirus disease named COVID-19 by the World Health Organization (WHO). It has emerged as a pandemic; number of affected individuals is only increasing and so is the spectrum of its clinical presentations. To control morbidity and mortality caused by COVID-19, all physicians including ophthalmologists, need to know its established as well as probable clinical presentations. Conjunctivitis can be the first presenting symptom of the disease. Ophthalmologists are at higher risk of contracting this infection due to close contact with the patient during different examinations and procedures. Examining such otherwise asymptomatic patients further increases the risk of infection. The present review updates about the current literature on COVID 19 in relation to ophthalmology. We need to control its spread at all levels, among patients and ophthalmologists, among staff as well as the community. Frequent disinfection and social distancing should be the new norm in clinics. Teleconsultation services need to be boosted and strengthened for future use along with efforts to end the pandemic. Across the world, we are dealing with an unprecedented crisis and we are fraught with uncertainty. On December 31, 2019, the first case of pneumonia of an undetermined cause was reported from Wuhan in China. Since then similar cases flooded across the world and the disease was declared as Public Health Emergency internationally on January 30, 2020. [1,2] On February 11, 2020, the World Health Organization (WHO) gave name to this coronavirus disease-2019 (COVID-19): COVID-19, and called the causative virus as "severe acute respiratory syndrome coronavirus 2 (SARS-COV-2)." [1] Globally, as on, June 4, 2020, there are 6,416,828 confirmed cases of COVID-19, including 382,867 deaths, reported to the WHO. [3] SARS-COV-2 has far higher infectivity and low mortality than previously known human corona virus. [4] It shows a rapid transmission during the incubation-period and may have milder symptoms in adults. [5] Human-to-human transmission is commonly by fomites, droplets, aerosol, etc., similar to SARS virus. Risk of environmental contamination is also there, more by patients with the upper respiratory tract involvement. It has been shown that current decontamination measures are sufficient and hence there is a need for strict adherence to environmental and hand hygiene. [6] Clinical Presentation of COVID-19 COVID-19 can have a variable presentation. Fever and cough have been reported as the most common symptoms. [7] In a study of 1099 Covid-19 confirmed patients [7] from China, fever was seen at presentation in 43.8% of the confirmed OVIOD 19 patients and developed after hospitalization in 88.7%. The study also reported a difference in pathogenicity of the virus from SARS-CoV, and other seasonal influenza like illness, in view of absence of gastrointestinal symptoms. Other common symptoms include cough (67.8%), fatigue (38.1%), sputum production (33.7%), shortness of ...

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Evolving consensus on managing vitreo-retina and uvea practice in post-COVID-19 pandemic era

Cited by 32 publications

References 17 publications

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

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

Navigating the new normal in ophthalmology

Coronavirus disease in ophthalmology practice: Current scenario; available evidence; and its implications

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