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

1. Acute conjunctivitis

2. 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

3. 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

4. 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

5. Contact lenses

• Renewal: postpone (+/- renew prescription by mail, if disposable lenses)
• Photophobia/visual acuity loss/redness/eye pain: consult

6. 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

Tags: covid 19 France