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Extra microscsope draping for intraocular surgery

Dr Aman Chandra,Consultant Ophthalmologist & Vitreoretinal Surgeon, Southend University Hospital, UK, demonstrates how to utilise extra miscroscope draping for intraocular surgery. Dr Chandra would like to acknowledge the assistance of his co-author Miss Louisa Wickham (Moorfields Eye Hospital, London)

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Remember: 'There is no emergency in a pandemic"

Many doctors, nurses and health-care workers will have seen this posted in the last few days. I was asked to repost this with the news on March 30th that 60 Italian doctors have died from COVID-19 ( Many nurses and other health care workers are being infected. In Spain, it is a similar tragedy. The New York Times reports that 3000 doctors are estimated to have been infected in China, and over 200 health care workers have fallen sick in New York in recent days. ( "If you do not have proper PPE, do not go in. No matter what. There is no emergency in a pandemic. You as a healthcare worker are a force multiplier. Your training and experience is invaluable moving...

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A sobering tale from an NHS Ophthalmologist

I'm a doctor with suspected coronavirus – NHS workers are being used like cannon fodder by Nima Ghadiri "I’m on day 4: high fever, muscle aches, dry cough, no sense of smell. If this is Covid-19, I may not have seen out the worst of it. The problem is, I don’t know what this is. I do not fit the current government testing criteria for coronavirus, even though I am an ophthalmologist and frontline NHS worker. This uncertainty impacts when I can return to work, as I would have been able to earlier if I knew I didn’t have it. I am in strict isolation now, and thankfully that isn’t a problem; some of my colleagues have at-risk family members...

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Risk of Virus Spread with Tonometry - esp Air-Puff Tonometry

There are increasingly reports of  the risks with tonometry for intraocular pressure measurement, especially non-contact methods such as air-puff tonometry. As early as 1991, concerns were raised regarding micro-aerosol formation during air-puff tonometry (Britt JM, Clifton BC, Barnebey HS, Mills RP. Microaerosol Formation in Noncontact 'Air-Puff' Tonometry. Arch Ophthalmol. 1991;109(2):225–228).  In their excellent paper on infection control lessons learned from the Coronavirus epidemic in Hong Kong, Lai and colleagues reported that non-contact tonometry was avoided for fear of increasing viral micros aerosol formation.  Similarly, in an article entitled "General recommendations to protect Staff and Patients from COVID-19, based on lessons learned in Italy" published in Eurotimes Ophthalmology released on 18th March 2020, the author Dr Lucio Buratto writes " Avoid non-contact tonometry (air-puff tonometry). In patients...

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