Preventive measures for lacrimal procedures during the outbreak of COVID-19: perspective
Keywords:Aerosols, COVID-19, Dacryocystorhinostomy, Lacrimal apparatus diseases, Nasolacrimal duct
Aerosols are a major route of transmission of COVID-19. Lacrimal procedures such as lacrimal irrigation, manipulation, and surgery involve aerosols. We searched the PubMed database for articles related to preventive measures of lacrimal procedures during the COVID-19 pandemic. Seven relevant articles were reviewed. Preoperative measures include patient screening, triage, and use of personal protective equipment. Intraoperative measures include procedure-specific aerosol reduction, use of povidone-iodine as disinfectant, and use of personal protective equipment. Postoperative measures include use of telemedicine for follow-up. Elective lacrimal procedures were suspended periodically and resumed when the outbreak subsided, with strict implementation of guidelines. The preventive measures may be effective in lowering the risk of transmission from patients potentially positive with COVID-19.
Fathizadeh H, Maroufi P, Momen-Heravi M, et al. Protection and disinfection policies against SARS-CoV-2 (COVID-19). Infez Med 2020;28:185-91.
Anderson EL, Turnham P, Griffin JR, Clarke CC. Consideration of the Aerosol Transmission for COVID-19 and Public Health. Risk Anal 2020;40:902-7.
Umakanthan S, Sahu P, Ranade AV, Bukelo MM, Rao JS, Abrahao-Machado LF, et al. Origin, transmission, diagnosis and management of coronavirus disease 2019 (COVID-19). Postgrad Med J 2020;96:753-8.
Prevention UCfDCa. Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. 2007.
Organization WH. Infection prevention and control of epidemic-and pandemic prone acute respiratory infections in health care 2014
van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med 2020;382:1564-7.
Dockery DM, Rowe SG, Murphy MA, Krzystolik MG. The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention. J Emerg Med 2020;59:137-40.
Wu P, Duan F, Luo C, Liu Q, Qu X, Liang L, et al. Characteristics of Ocular Findings of Patients With Coronavirus Disease 2019 (COVID-19) in Hubei Province, China. JAMA Ophthalmol 2020;138:575-8.
Chen L, Liu M, Zhang Z, et al. Ocular manifestations of a hospitalised patient with confirmed 2019 novel coronavirus disease. Br J Ophthalmol 2020;104:748-51.
Canadian Society of Oculoplastic Surgery COS. Lacrimal irrigation/Surgery/Manipulation During the COVID-19 Pandemic 2020
Thiruvenkatarajan V, Wong DT, Kothandan H, et al. Airway Management in the Operating Room and Interventional Suites in Known or Suspected COVID-19 Adult Patients: A Practical Review. Anesth Analg 2020;131:677-89.
Alp E, Bijl D, Bleichrodt RP, Hansson B, Voss A. Surgical smoke and infection control. J Hosp Infect 2006;62:1-5.
Jewett DL, Heinsohn P, Bennett C, Rosen A, Neuilly C. Blood-containing aerosols generated by surgical techniques: a possible infectious hazard. Am Ind Hyg Assoc J 1992;53:228-31.
Mick P, Murphy R. Aerosol-generating otolaryngology procedures and the need for enhanced PPE during the COVID-19 pandemic: a literature review. J Otolaryngol Head Neck Surg 2020;49:29.
Ali MJ, Hegde R, Nair AG, Bajaj MS, Betharia SM, Bhattacharjee K, et al. All India Ophthalmological Society - Oculoplastics Association of India consensus statement on preferred practices in oculoplasty and lacrimal surgery during the COVID-19 pandemic. Indian J Ophthalmol 2020;68:974-80.
Ali MJ. A Surgical Protocol to Mitigate the SARS-CoV-2 Transmission Using Multifocal Povidone-Iodine Applications in Lacrimal Surgeries During Coronavirus Disease 2019 (COVID-19) Pandemic. Ophthalmic Plast Reconstr Surg 2020;36:416-7.
Ali MJ. Coronavirus Disease 2019 (COVID-19) Pandemic and Lacrimal Practice: Diagnostic and Therapeutic Nasal Endoscopy and Dacryoendoscopy. Ophthalmic Plast Reconstr Surg 2020;36:417-8.
Ali MJ. COVID-19 pandemic and lacrimal practice: Multipronged resumption strategies and getting back on our feet. Indian J Ophthalmol 2020;68:1292-9.
Quaranta-Leoni FM, Paridaens D, Verity D. European Society of Ophthalmic Plastic and Reconstructive Surgery (ESOPRS) recommendations for oculoplastic surgeons during the COVID-19 pandemic: a hallenge for the future. Orbit. 2020;39:460-2.
O'Rourke M, Hardy T, Au A, Burt B, Davies R, Friebel J, et al. Oculoplastic, Orbital, and Lacrimal Care in the Coronavirus Disease 2019 Pandemic: A Shared Experience From Melbourne. Ophthalmic Plast Reconstr Surg 2020;36:414-6.
Mak ST, Yuen HK. Oculoplastic surgery practice during the COVID-19 novel coronavirus pandemic: experience sharing from Hong Kong. Orbit 2020;39:316-8.
How to Cite
Copyright (c) 2022 Hong Kong Journal of Ophthalmology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal has a fully Open Access policy and publishes all articles under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. For any use other than that permitted by this license, written permission must be obtained from the Journal.