TY - JOUR AU - Hattenbach, Lars-Olof; Feltgen, Nicolas; Eter, Nicole; Al-Nawaiseh, Sami; Chronopoulos, Argyrios TI - Ophthalmic Outpatient and Inpatient Care Under Pandemic Conditions: Hygiene, Triage and New Challenges SN - 0023-2165 SN - 1439-3999 PY - 2021 JO - Klin Monbl Augenheilkd JF - Klinische Monatsblätter für Augenheilkunde LA - DE VL - 238 IS - 05 SP - 561 EP - 568 DA - 2021/05/21 KW - COVID-19 pandemic KW - ocular manifestation COVID-19 KW - hygiene measures KW - ophthalmic emergencies KW - triage AB - Background The progression of the COVID-19 pandemic has caused significant changes in the environment for outpatient and inpatient care in ophthalmology, with limitations on access to medical care but also new observations and challenges. We now describe major developments in recent months and provide an outlook on the expected consequences.Methods PubMed literature search, clinical survey.Results To date, the course of the COVID-19 pandemic has been characterised by several new but overall rare ocular manifestations, the ophthalmological shared management of COVID-19 patients on intensive care units, and a significant decrease in case numbers, associated with an increase in case severity and relative proportion of emergencies, as a result of delayed presentation of patients and reduced treatment adherence. With the introduction of hygiene measures and infection control procedures, ophthalmic patient care was maintained – including emergencies and urgent treatments. Due to the extensive postponement of elective surgeries, scarce therapeutic and health care professional resources, and the prioritisation of critically ill patients from other specialties, there is a reasonable likelihood that urgent treatments will be delayed as infection rates rise.Conclusion Outpatient and inpatient care in ophthalmology during the COVID-19 pandemic is primarily accompanied by additional organisational or medical challenges and a decline in case volume. Although to date emergency and urgent ophthalmic treatments have been maintained, long-term persistence of pandemic conditions will require additional strategies to provide continuation of ophthalmic care at the required level. PB - Georg Thieme Verlag KG DO - 10.1055/a-1487-1742 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1487-1742 ER -