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An easy protective measure in ophthalmology against medical supply shortage

Published online by Cambridge University Press:  16 April 2020

Fen Tang
Affiliation:
Department of Ophthalmology, People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China Department of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China
Guangyi Huang
Affiliation:
Department of Ophthalmology, People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China
Wei Huang
Affiliation:
Department of Ophthalmology, People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China
Fan Xu*
Affiliation:
Department of Ophthalmology, People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China
*
Author for correspondence: Fan Xu, E-mail: oph_fan@163.com
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Abstract

Type
Letter to the Editor
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

To the Editor—The rapidly spreading pandemic of coronavirus disease 2019 (COVID-19) poses a huge challenge to global public health. Healthcare systems in many countries are facing severe shortages of medical supplies.Reference Namazi1-Reference Barry3

Healthcare workers in ophthalmology departments are susceptible to cross infection because routine ophthalmic examinations, such as like slit-lamp microscopy, are usually performed in a setting of close doctor–patient contact.Reference Seah, Su and Lingam4 Three ophthalmologists in Wuhan Central Hospital were infected with SARS-CoV-2 and died from severe COVID-19.Reference Parrish, Stewart and Duncan Powers5,6 At the ophthalmic center of Guangxi Province, we have continued to provide medical services for outpatients who need timely services during the COVID-19 pandemic. However, in response to the lack of personal protective equipment (PPE) (eg, face shields and gowns) during the epidemic peak in China,7 we have adopted an easy measure to perform slit-lamp examinations. After thorough disinfection, we installed a home-made shield at the slit-lamp to separate patients and ophthalmologists. As shown in Figure 1, the protective shield is placed between the chin rest/headrest and the microscope.

Fig. 1. A transparent shield at the slit lamp.

The protective shield could prevent contamination of the slit-lamp by respiratory droplets. Although the shortage of medical supplies is currently being alleviated in China, we are encouraging the continuation of this easy protective measure to curb cross transmission in ophthalmology and to protect the ophthalmologists on the frontline of the pandemic.

Acknowledgments

Financial support

No financial support was provided relevant to this article.

Conflicts of interest

All authors report no conflicts of interest relevant to this article.

References

Namazi, I. Sanctions and medical supply shortages in Iran. Wilson Center website. https://www.wilsoncenter.org/publication/sanctions-and-medical-supply-shortages-iran. Published 2020. Accessed March 28, 2020.Google Scholar
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Barry, C. Virus marches on in Italy, Iran, US; medical supplies shrink. Business Insider website. https://www.businessinsider.com/italian-doctor-dies-from-coronavirus-covid-19-after-warning-low-supplies-2020-3. Published 2020. Accessed March 28, 2020.Google Scholar
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Figure 0

Fig. 1. A transparent shield at the slit lamp.