Ocular oncology practice guidelines during COVID-19 pandemic-An expert consensus

Impact of COVID-19 pandemic on eye cancer care in United Kingdom

“…More enucleations (p > 0.05) and fewer globe salvage procedures such as proton beam radiotherapy (p < 0.05) were performed during the COVID-19 lockdown period compared to the previous 2 years. At the cusp of the COVID-19 pandemic, there was no conscious intention to change treatment strategies to favour more enucleation over globe preserving modalities in the UK or elsewhere, 5,6 although our UK data observed this trend. We could speculate this variation was due to a number of potential factors: patient choice, nature of aerosol-generating procedures in general anaesthesia (GA) and a balance of increased transmission risk of COVID-19 virus during prolonged patient care in hospital settings.…”

The Management of Children with Cancer during the COVID-19 Pandemic: A Rapid Review

“…All the articles were descriptive, and the level of evidence was low (i.e., OECBM level 5). In particular, most of the included papers were letters to the editor ( n = 5; 23.8%) [ 26 , 27 , 28 , 29 , 30 ] or recommendations (guidelines or expert consensus) ( n = 5; 23.8%) [ 31 , 32 , 33 , 34 , 35 ]. The other papers were three correspondences [ 6 , 36 , 37 ], two reviews [ 38 , 39 ], two surveys [ 9 , 40 ], two commentaries [ 41 , 42 ], and two editorials [ 43 , 44 ].…”

“…Some articles included recommendations on when to administer other types of treatment, such as radiotherapy or surgery. Radiotherapy did not substantially affect the immune system; therefore, its continuation is recommended [ 26 , 28 , 32 , 35 , 36 , 40 , 45 ]. On the other hand, for surgery, patients that are suspected to be or are COVID-19-positive have to be transferred to units that are appropriate for pre-operative treatment and then be taken to the operating room through specially dedicated pathways [ 32 , 33 , 35 , 36 , 39 , 40 ].…”

“…Balduzzi et al (2020) also underline the importance of identifying better pathways and strategies to prevent the spread of COVID-19 among pediatric patients, medical and nursing staff, and parents involved in their children’s care. These include separate “clean” and “COVID-19” pathways to reach the wards, and the identification of clean areas and those dedicated to COVID-19 patients [ 9 , 27 , 29 , 32 , 34 , 36 , 37 , 38 , 44 ]. Most of the specialists see their patients in their rooms in order to avoid them from going around the hospital as much as possible [ 38 ].…”

Impact of COVID-19 pandemic, national lockdown, and unlocking on an apex tertiary care ophthalmic institute

“…Guidelines recommended by national societies are being actively incorporated to assure equal and equitable delivery of good-quality eye-care to patients from all financial backgrounds. [ 3 18 19 20 21 22 23 24 25 ]…”