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Perspectives on Coronavirus Disease 2019 Control Measures for Ophthalmology Clinics Based on a Singapore Center Experience

Educational Objective
To understand possible precautions to take in Ophthalmology Clinics during the COVID-19 pandemic

In December 2019, a coronavirus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes the coronavirus disease 2019 (COVID-19), emerged from Wuhan, China. Since then, the World Health Organization (WHO) has declared this a public health emergency of international concern because of the global spread. As of March 2, 2020, there are 88 948 cases among 65 countries, including 3043 deaths.1 The spread has continued across all continents except Antarctica and is rapidly being identified in more and more states in the US.

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Article Information

Corresponding Author: Ivan Seah Yu Jun, MBBS, Department of Ophthalmology, National University Hospital, 5 Lower Kent Ridge Rd, Singapore 119074 (ivan.seah@mohh.com.sg).

Published Online: March 31, 2020. doi:10.1001/jamaophthalmol.2020.1288

Correction: This article was corrected on May 7, 2020, to fix an error in the text.

Conflict of Interest Disclosures: None reported.

References
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World Health Organization.  Coronavirus Disease 2019 (COVID-19) Situation Report—42. World Health Organization; 2020.
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Lu  CW , Liu  XF , Jia  ZF .  2019-nCoV transmission through the ocular surface must not be ignored.   Lancet. 2020;395(10224):e39. doi:10.1016/S0140-6736(20)30313-5PubMedGoogle Scholar
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Loon  S-C , Teoh  SCB , Oon  LLE ,  et al.  The severe acute respiratory syndrome coronavirus in tears.   Br J Ophthalmol. 2004;88(7):861-863. doi:10.1136/bjo.2003.035931PubMedGoogle ScholarCrossref
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Centers for Disease Control and Prevention. Evaluating and testing persons for coronavirus disease 2019 (COVID-19). Accessed May 3, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-criteria.html
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Loon  SC , Lun  K .  SARS: a timely reminder.   Br J Ophthalmol. 2013;97(9):1217-1218. doi:10.1136/bjophthalmol-2013-303596PubMedGoogle ScholarCrossref
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Xie  X , Li  Y , Chwang  AT , Ho  PL , Seto  WH .  How far droplets can move in indoor environments—revisiting the Wells evaporation-falling curve.   Indoor Air. 2007;17(3):211-225. doi:10.1111/j.1600-0668.2007.00469.xPubMedGoogle ScholarCrossref
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Kampf  G , Todt  D , Pfaender  S , Steinmann  E .  Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents.   J Hosp Infect. 2020;104(3):246-251. doi:10.1016/j.jhin.2020.01.022PubMedGoogle ScholarCrossref
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