Citation:Cheung SSL, Wong CYK, Chan JCK, Chan CK, Lam NM, Yuen HK, Wong VW, Tsang CW, Tham CCY. Ophthalmology in the time of COVID-19: experience from Hong Kong Eye Hospital. Int J Ophthalmol 2020;13(6):851-859,doi:10.18240/ijo.2020.06.01
Ophthalmology in the time of COVID-19: experience from Hong Kong Eye Hospital
Received:April 09, 2020  Revised:April 21, 2020
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DOI:10.18240/ijo.2020.06.01
Key Words:COVID-19  coronavirus  SARS-CoV-2  ophthalmology  infection control  Hong Kong
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Stephanie S.L. Cheung Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
Cherie Y.K. Wong Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
Jason C.K. Chan Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
Carmen K.M. Chan Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
N.M. Lam Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
Hunter K.L. Yuen Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
Victoria W.Y. Wong Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
Chi Wai Tsang Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
Clement C.Y. Tham Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Hong Kong SAR, China; Hong Kong Eye Hospital, Hong Kong SAR, China
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Abstract:
      AIM: To review international guidelines and to share our infection control experience during the coronavirus disease 2019 (COVID-19) pandemic at a tertiary eye centre in Hong Kong.

    METHODS: Infection control guidelines and recommendations from international ophthalmological bodies are reviewed and discussed. The measures at our hospital were drawn up as per international and local health authorities’ guidelines and implemented with the collaboration of doctors, nurses and administrative staff.

    RESULTS: The aims of our infection control measures are to 1) minimize cross-infection within the hospital; 2) protect and support hospital staff; 3) ensure environmental control. To minimize the risk of cross-infection, outpatient attendance and elective surgery have been reduced by 40%, and general anesthesia procedures were reduced by 90%. Patients entering the hospital are screened for fever, travel history, contact and cluster history, and COVID-19 related symptoms. To protect and support hospital staff, we ensure provision of adequate personal protective equipment (PPE) and provide clear guidelines on the level of PPE needed, depending on the clinical situation. Other protective measures include provision of work uniforms, easy access to alcohol-based hand rub, opening new lunch areas, implementation of self-monitoring and self-reporting systems, and communication via online education and updates. Finally, environmental control is achieved by ensuring regular disinfection of the hospital premise, enhancing ventilation, and usage of disposable ophthalmic instruments.

    CONCLUSION: Our multi-pronged approach to infection control is, so far, successful in minimizing infection risks, while allowing the maintenance of essential ophthalmic services.

PMC FullText Html:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270264/
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