Global Health & Medicine
Online ISSN : 2434-9194
Print ISSN : 2434-9186
Letter
Using flowchart for ophthalmic consultations in hospitalized patients with COVID-19
Shigeko YashiroTakashi UetaSatoshi KutsunaTatsuya OkamotoMiyuki NagaharaNorio Ohmagari
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JOURNALS FREE ACCESS

2020 Volume 2 Issue 6 Pages 395-397

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Abstract

Ocular complications of coronavirus disease 2019 (COVID-19) do not essentially cause serious visual loss. However, due to the characteristics of this disease, delays in diagnosis and treatment in hospitalized patients may leave them with serious visual impairment. If conjunctivitis is suspected, ophthalmological follow-up is needless because it is expected spontaneous healing. Diplopia is often complicated for extra-ocular neurological findings and need neurological consults. Ophthalmologists should be consulted for ocular surface disease, high intraocular pressure, and ocular inflammation that may cause visual loss if patients complain of blurred vision, visual loss, and ocular pain. The problem is unconscious patients with risk of developing high intraocular pressure or keratitis. An ophthalmologist should be consulted as soon as possible if eye redness or pupil abnormalities appear in these patients. We developed a flowchart for ophthalmic consultations in hospitalized patients with COVID-19, for facilities where an ophthalmologist is not always present, and for third or fourth waves or, a pandemic of another infectious disease.

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© 2020 National Center for Global Health and Medicine
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