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COVID-19:
Changing Ophthalmic Practice
in African units
COVID-19: Who to see?
Victor Hu
Clinical Assistant Professor, LSHTM
Consultant Ophthalmologist, Mid Cheshire Hospitals, UK
COVID-19: adjusting work load
• COVID-19: massive uncertainty
• Current practice in the UK and similar countries
• Needs t...
Stop routine work
• Review of notes - RAG system:
• Red: still needs to be seen
• Amber: telephone consultation
• Green: can be deferred for...
• Need to consider what services to provide in your context
• Weighing up risk to the patient of coming to an eye care uni...
Potential conditions to see (RCOphth)
Urgent / Emergency procedures (AAO)
• Defer surgery unless essential
• General Anaesthesia – aerosol generating procedure
• Local Anaesthesia – still have pro...
• Booking in / Reception area
1. COVID screening questions & temperature check
2. Urgent / emergency
Where and how to see ...
• COVID-19 can cause a follicular conjunctivitis
• 9 of 1099 hospitalized patients (0.8%) with confirmed COVID had
“conjun...
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Online conference: COVID-19 and eye care in African Eye Units: COVID-19: Changing ophthalmic practice in African eye units. Victor Hu, London, UK. 9 April 2020

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On 9 April 2020, the International Centre for Eye Health (www.iceh.org.uk) and the Royal College of Ophthalmologists (www.rcophth.ac.uk) hosted an online conference for over 270 eye health professionals to discuss the most recent COVID-19 guidelines and protocols and share their experience.

In this presentation, Victor Hu describes how ophthalmic practice is changing during the pandemic.

For more information, including presentations and audio recordings,, please visit our news page: www.cehjournal.org/news.

The Community Eye Health Journal (www.cehjournal.org) also published a detailed article on 9 April, called 'How to protect yourself and your patients from COVID-19 in eye care.' Read it here: www.cehjournal.org/news/new-article-protecting-yourself-and-your-patients-from-covid-19-in-eye-care/

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Online conference: COVID-19 and eye care in African Eye Units: COVID-19: Changing ophthalmic practice in African eye units. Victor Hu, London, UK. 9 April 2020

  1. 1. COVID-19: Changing Ophthalmic Practice in African units
  2. 2. COVID-19: Who to see? Victor Hu Clinical Assistant Professor, LSHTM Consultant Ophthalmologist, Mid Cheshire Hospitals, UK
  3. 3. COVID-19: adjusting work load • COVID-19: massive uncertainty • Current practice in the UK and similar countries • Needs to be adapted for your service
  4. 4. Stop routine work
  5. 5. • Review of notes - RAG system: • Red: still needs to be seen • Amber: telephone consultation • Green: can be deferred for 6+ months • Alerting patients to change of appointment and not to come if they have COVID symptoms (unless urgent/emergency): • Letters • Text messages • Phone call Triaging patients
  6. 6. • Need to consider what services to provide in your context • Weighing up risk to the patient of coming to an eye care unit against loss of vision Provide urgent / emergency service FOR seeing the patient • Only seeing eye • Younger age • Effective treatment • Singe/few visits required AGAINST seeing the patient • Age 70 years or older • Medical co-morbidity • Immunosuppressed
  7. 7. Potential conditions to see (RCOphth)
  8. 8. Urgent / Emergency procedures (AAO)
  9. 9. • Defer surgery unless essential • General Anaesthesia – aerosol generating procedure • Local Anaesthesia – still have prolonged close contact with the patient’s face Ophthalmic surgery
  10. 10. • Booking in / Reception area 1. COVID screening questions & temperature check 2. Urgent / emergency Where and how to see patients?
  11. 11. • COVID-19 can cause a follicular conjunctivitis • 9 of 1099 hospitalized patients (0.8%) with confirmed COVID had “conjunctival conjestion” . NEJM article from China • Viral particles can be found in tears of COVID patients, but unusual unless they have clinical conjunctivitis (recent Ophthalmology study) • Does not seem to be a common presentation of COVID, more a late feature. • Overall impression: • should not be a major cause of concern. • follow good hygiene practice with all patients Conjunctivitis

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