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Ophthalmology and COVID-19

Educational Objective
To understand how COVID-19 is affecting the field of ophthalmology
1 Credit CME

While common ophthalmic diseases, such as age-related macular degeneration or cataract or glaucoma, have minimal clinical relevance to other areas of medicine, coronavirus disease 2019 (COVID-19) and ophthalmology have had immediate connections and importance for hospital epidemiology and infection control experts, public health officials, and the general population. In the first preliminary study of characteristics of ocular findings among 38 patients hospitalized with COVID-19 in Hubei province, China, Wu et al1 reported conjunctivitis in 12 (38%). Virus material also was detected on swabs of the conjunctiva among 2 of 11 patients (18%) tested for COVID-19 in this manner.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Neil M. Bressler, MD, Department of Ophthalmology, Johns Hopkins University School of Medicine, 600 N Wolfe St, Maumenee 752, Baltimore, MD 21287 (nmboffice@jhmi.edu).

Conflict of Interest Disclosures: None reported.

References
1.
Wu  P , Duan  F , Luo  C ,  et al.  Characteristics of ocular findings of patients with coronavirus disease 2019 (COVID-19) in Hubei Province, China.   JAMA Ophthalmol. 2020;138(5):575-578. doi:10.1001/jamaophthalmol.2020.1291PubMedGoogle ScholarCrossref
2.
Sommer  A .  Humans, viruses, and the eye-an early report from the COVID-19 front line.   JAMA Ophthalmol. 2020;138(5):578-579. doi:10.1001/jamaophthalmol.2020.1294PubMedGoogle ScholarCrossref
3.
Parke  DW  II .  Ophthalmology after coronavirus disease 2019 (COVID-19): transition back to patient care.   JAMA Ophthalmol. 2020;138(6):599-600. doi:10.1001/jamaophthalmol.2020.2004PubMedGoogle ScholarCrossref
4.
Jun  ISY , Hui  KKO , Songbo  PZ .  Perspectives on coronavirus disease 2019 control measures for ophthalmology clinics based on a Singapore center experience.   JAMA Ophthalmol. 2020;138(5):435-436. doi:10.1001/jamaophthalmol.2020.1288PubMedGoogle ScholarCrossref
5.
Felfeli  T , Mandelcorn  ED .  Assessment of simulated respiratory droplet spread during an ophthalmologic slitlamp examination.   JAMA Ophthalmol. Published online August 18, 2020. doi:10.1001/jamaophthalmol.2020.3472PubMedGoogle Scholar
6.
Aytoğan  H , Ayintap  E , Özkalay Yilmaz  N .  Detection of coronavirus disease 2019 viral material on environmental surfaces of an ophthalmology examination room.   JAMA Ophthalmol. Published online August 3, 2020. doi:10.1001/jamaophthalmol.2020.3154PubMedGoogle Scholar
7.
Bommakanti  NK , Zhou  Y , Ehrlich  JR ,  et al; SOURCE Consortium.  Application of the sight outcomes research collaborative ophthalmology data repository for triaging patients with glaucoma and clinic appointments during pandemics such as COVID-19.   JAMA Ophthalmol. Published online July 17, 2020. doi:10.1001/jamaophthalmol.2020.2974PubMedGoogle Scholar
8.
Zeng  W , Wang  X , Li  J ,  et al  Association of daily wear of eyeglasses and susceptibility to COVID-19 infection.   JAMA Ophthalmol. Published online September 11, 2020. doi:10.1001/jamaophthalmol.2020.3906Google Scholar
9.
Maragakis  LL .  Does wearing eye protection mitigate COVID-19 risk in public, non-healthcare settings?   JAMA Ophthalmol. Published online September 11, 2020. doi:10.1001/jamaophthalmol.2020.3909Google Scholar
10.
Sommer  A .  Humans, viruses, and the eye—an early report from the COVID-19 front line.   JAMA Ophthalmol. 2020;138(5):578-579. doi:10.1001/jamaophthalmol.2020.1294PubMedGoogle ScholarCrossref
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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