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COVID-19: Special Precautions in Ophthalmic Practice and FAQs on Personal Protection and Mask Selection

Dennis S.C. Lam, Raymond Lai Man Wong, Kenny H.W. Lai, Chung‐Nga Ko, Hiu Ying Leung, Vincent Yau Wing Lee, Johnson Y. N. Lau, Suber S. Huang

2020Asia-Pacific Journal of Ophthalmology54 citationsDOIOpen Access PDF

Abstract

The Coronavirus Disease 2019 (COVID-19), caused by severe acute respiratory coronavirus-2, was first reported in December 2019. The World Health Organization declared COVID-19 a pandemic on March 11, 2020 and as of April 17, 2020, 210 countries are affected with >2,000,000 infected and 140,000 deaths. The estimated case fatality rate is around 6.7%. We need to step up our infection control measures immediately or else it may be too late to contain or control the spread of COVID-19. In case of local outbreaks, the risk of infection to healthcare workers and patients is high. Ophthalmic practice carries some unique risks and therefore high vigilance and special precautions are needed. We share our protocols and experiences in the prevention of infection in the current COVID-19 outbreak and the previous severe acute respiratory syndrome epidemic in Hong Kong. We also endeavor to answer the key frequently asked questions in areas of the coronaviruses, COVID-19, disease transmission, personal protection, mask selection, and special measures in ophthalmic practices. COVID-19 is highly infectious and could be life-threatening. Using our protocol and measures, we have achieved zero infection in our ophthalmic practices in Hong Kong and China. Preventing spread of COVID-19 is possible and achievable.

Topics & Concepts

OutbreakPandemicCoronavirus disease 2019 (COVID-19)Case fatality rateInfection controlMedicinePersonal protective equipmentCoronavirusInfectious disease (medical specialty)Attack rateSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Transmission (telecommunications)DiseaseIntensive care medicineMedical emergencyVirologyEpidemiologyPathologyEngineeringElectrical engineeringRetinal and Optic ConditionsCOVID-19 and healthcare impactsInfection Control and Ventilation