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French Society of Ophthalmology (SFO ) Guidelines for the follow-up of paediatric patients during the Covid-19 epidemic

Colin Kerr

Posted: Tuesday, April 21, 2020

The French Society of Ophthalmology (SFO) have drawn up  Guidelines for the follow-up of paediatric patients during the Covid-19 epidemic. The guidelines were written by Prof. J Claude Speeg-Schatz, University Hospital Strasbourg, France

Which cases should be seen and which cases postponed?
In cases of amblyopia:
 If the child is already being monitored, we continue the treatment and postpone the appointment. Follow-up of ametropia can be postponed.
 If the child is not being monitored and has a decrease in visual acuity or strabismus: under six years of age the patient should be seen to eliminate an organic cause (fundus examination). Retinoscopy may be deferred to a later date. In cases of strabismus, alternate or unilateral occlusion therapy can be performed according to the case.
In cases of sudden onset strabismus or recent nystagmus: children under two years-of-age are to be seen urgently to eliminate an organic cause (retinoblastoma, tumours…): fundus examination.
In the event of a suspicious or obvious organic problem: leukocoria, buphthalmos, megalocornea, tearing (except in cases of imperforation of the lacrimal passages), photophobia, the child should be seen in the emergency room.
In case of infections (red and/or painful eye, secretions, oedema), and trauma, children should be seen in the emergency room.
Source: French Society of Ophthalmology (SFO): https://www.sfo-online.fr/sites/www.sfo-online.fr/files/medias/documents/recommandations_pour_les_consultations_ophtalmopediatrie-covid-19_0.pdf