Department of Ophthalmology, Hadassah Medical Center and the Hebrew University - Hadassah School of Medicine, PO Box 12000, 91120, Jerusalem, Israel.
Graefes Arch Clin Exp Ophthalmol. 2020 Oct;258(10):2271-2274. doi: 10.1007/s00417-020-04790-w. Epub 2020 Jun 21.
To evaluate the risk of transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) after exposure to a COVID-19+ physician in a retina clinic.
A retrospective observational study. Records of 142 patients and 11 staff members from a single retina clinic that were exposed to a COVID-19+ ophthalmologist were reviewed. All 153 individuals were placed in quarantine for 14 days. They were contacted after the quarantine period to inquire about symptoms consistent with COVID-19, and the results of diagnostic test for SARS-CoV-2 when performed.
All patients (n = 142) were contacted successfully. The mean age was 72.8 ± 13.6 years; 54.2% (n = 77) were females. Twenty-three patients (16.2%) were exposed during an ophthalmic exam, 111 (78.2%) during intraocular injection, 4 (2.8%) underwent exam and injection, 3 (2.1%) underwent surgery, and one patient (0.7%) had laser photocoagulation. Half of the patients (50%; n = 71) were in contact with the COVID-19+ physician while he was symptomatic. Forty-four patients (31%) wore a mask on the day of their visit. 11.3% (n = 16) of the patients, and all involved staff had been tested for the virus and all were negative. One patient (0.7%) reported transient cough and sore throat, and the remaining 141 (99.3%) patients and 11 (100%) staff did not develop symptoms.
Low risk for SARS-CoV-2 transmission in the ophthalmic setting was observed when universal safety measures such as social distancing, meticulous hand hygiene, enlarged breath shields, and mask wear during procedures were taken.
评估在视网膜诊所接触 COVID-19 阳性医生后感染严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）的风险。
回顾性观察性研究。对一家视网膜诊所的 142 名患者和 11 名工作人员的记录进行了回顾，这些人接触过 COVID-19 阳性眼科医生。所有 153 人被隔离 14 天。在隔离期结束后，联系他们询问是否有符合 COVID-19 的症状，并在进行时进行 SARS-CoV-2 的诊断检测。
所有患者（n=142）均成功联系。平均年龄为 72.8±13.6 岁；54.2%（n=77）为女性。23 名患者（16.2%）在眼科检查时暴露，111 名（78.2%）在眼内注射时暴露，4 名（2.8%）在检查和注射时暴露，3 名（2.1%）在手术时暴露，1 名患者（0.7%）在激光光凝时暴露。一半的患者（50%；n=71）在接触 COVID-19 阳性医生时出现症状。44 名患者（31%）在就诊当天戴口罩。11.3%（n=16）的患者和所有接触过的工作人员都接受了病毒检测，结果均为阴性。一名患者（0.7%）报告有短暂的咳嗽和喉咙痛，其余 141 名（99.3%）患者和 11 名（100%）工作人员均未出现症状。
在采取普遍的安全措施（如社交距离、严格的手部卫生、扩大呼吸防护屏和在手术过程中戴口罩）时，在眼科环境中观察到 SARS-CoV-2 传播的风险较低。
