Gegúndez-Fernández J A, Zarranz-Ventura J, Garay-Aramburu G, Muñoz-Negrete F J, Mendicute Del Barrio J, Pablo-Júlvez L, García-Delpech S, López-Alemany A, Arnalich-Montiel F, Cordero-Coma M, Cárceles J A
Hospital Clínico San Carlos, Sociedad Española de Oftalmología (SEO), Madrid, España.
Hospital Clinic, Sociedad Española de Retina y Vítreo (SERV) Barcelona, España.
Arch Soc Esp Oftalmol (Engl Ed). 2020 Jun;95(6):300-310. doi: 10.1016/j.oftal.2020.04.002. Epub 2020 Apr 25.
Minimize exposure to the SARS-CoV-2, reduce the chances of cross-transmission between patients and healthcare personnel, and prevent the development of postoperative complications from the management of patients with eye diseases during the 2019 coronavirus disease pandemic (COVID-19).
COVID-19 literature review and consensus establishment between different Spanish ophthalmology societies in order to provide guidelines and recommendations of maximum resources primarily conditioned by the state of alert, confinement and social distancing that occurs in Spain since March 16, 2020.
The recommendations will promote the adoption of action and protection measures for eye care in outpatient clinics, surgical areas and hospitalization, for unconfirmed (asymptomatic and symptomatic) and confirmed COVID-19 patients. Measures must be adapted to the circumstances and availability of personal protective equipment in each of the centers and Autonomous Communities, which will be updated according to the pandemic phases and the measures adopted by the Spanish Government.
During the COVID-19 pandemic, attention to the potential health risks to the population caused by coronavirus should prevail over the possible progression of the common eye diseases. Ophthalmologists and other eye care professionals must assume a possible progression of these diseases due to the impossibility of adequate patient follow-up.
在2019冠状病毒病大流行(COVID-19)期间,尽量减少接触严重急性呼吸综合征冠状病毒2(SARS-CoV-2),降低患者与医护人员之间交叉传播的几率,并预防眼科疾病患者管理过程中术后并发症的发生。
对COVID-19相关文献进行综述,并在不同的西班牙眼科协会之间达成共识,以便根据自2020年3月16日起西班牙出现的警戒状态、封锁和社交距离情况,提供以最大资源为条件的指南和建议。
这些建议将促进在门诊、手术区域和住院治疗中,针对未确诊(无症状和有症状)以及确诊的COVID-19患者采取眼部护理的行动和保护措施。措施必须根据每个中心和自治区的情况以及个人防护设备的可用性进行调整,并将根据大流行阶段和西班牙政府采取的措施进行更新。
在COVID-19大流行期间,对冠状病毒给人群带来的潜在健康风险的关注应优先于常见眼科疾病可能的进展。由于无法对患者进行充分的随访,眼科医生和其他眼保健专业人员必须承担这些疾病可能进展的后果。