Management of ophthalmic perioperative period during 2019 novel coronavirus disease outbreak/ 新型冠状病毒肺炎疫情下眼科患者围手术期管理实践

Objective: To explore the perioperative management and infection prevention methods for acute eye diseases during the outbreak of 2019 novel coronavirus disease (COVID-19). Methods: Since the COVID-19 was included in the Class B infectious diseases and was managed according to Class A infectious diseases in China, 127 patients who underwent ophthalmic surgery were enrolled in First Affiliated Hospital of Army Military Medical University from January 20 to February 19, 2020.The perioperative management according to the national epidemic prevention and control requirements was summarized, and the perioperative clinical management that should be taken during the epidemic prevention period were discussed. Results: One hundred and twenty-seven patients underwent ophthalmic surgeries, including emergency surgery, daytime surgery and other surgeries for sight-threatening diseases.The methods of anesthesia included general anesthesia, local anesthesia and ocular superficial anesthesia.According to the national epidemic prevention and control requirements, epidemic screening for these patients and infectious managing measures were performed during the perioperative period, including the sterilization of relevant environment and equipments, the personal medical prevention and protection for medical staffs and patients, which made sure all the operations went smoothly and safely.There were no 2019-nCoV infection, surgical-relative infection, crossing infection and operation-related complications occurred.Meanwhile, there were not COVID-19-related infection events of medical staffs.The air sampling compliance rate in the operating room, ward, examination room and other areas was 100%. Conclusions: During the prevention and control period of the epidemic of COVID-19, strict adherence to the prevention and control measures can effectively ensure the smooth implementation of the operation and the perioperative safety of medical staff and patients.