Managing medical conditions of the ocular surface during the COVID-19 epidemic - EuroTimes
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Managing medical conditions of the ocular surface during the COVID-19 epidemic

Prof Marc Labetoulle and Dr Antoine Rousseau have prepared recommendations on “Managing medical conditions of the ocular surface during the COVID-19 epidemic”.

  1. Acute conjunctivitis

Action: Consultation with enhanced hygiene measures and think about looking for signs of COVID-19 (sometimes early conjunctivitis)

  1. Infectious/inflammatory/trophic keratitis and keratoconjunctivitis
  • Follow-up of abscess and unhealed corneal ulcer: consult to maintain usual follow-up
  • Any recurrent corneal disease (e.g. herpes, shingles, keratalgia, marginal ulcer etc.) and calm at the last check-up:
  • for simple control follow-up: postpone
  • symptoms suggestive of recurrence (redness/pain/visual acuity loss/photophobia): consult
  1. Allergic pathologies
  • “Benign” forms (seasonal or perennial conjunctivitis) and calm at the last check up: postpone (+/- send crisis treatment order by mail)
  • “Severe” forms (vernal keratoconjunctivitis, or atopic) and under control at the last check up
    • Stable symptoms: postpone
    • Photophobia/visual acuity loss/redness/eye pain: consult
  1. Dry eye
  • Light to moderate forms: postpone
  • Severe forms (ocular graft-versus-host disease, Goujerot-Sjögren syndrome, known major keratopathy):
    • Stable symptoms: postpone
    • Photophobia / AVB / redness / eye pain: consult
  1. Contact lenses
  • Renewal: postpone (+/- renew prescription by mail, if disposable lenses)
  • Photophobia/visual acuity loss/redness/eye pain: consult
  1. Follow-up of corneal surgery
  • Long-term follow-up, in a priori stable period for the next 2-3 months: postpone
  • Recent surgery and/or patient at risk of complication of post-operative treatments (ex: ocular hypertonia on corticosteroids): consult

https://www.sfo-online.fr/actualites/quelle-conduite-tenir-pour-prendre-en-charge-des-pathologies-medicales-de-la-surface

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