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Editorial

Safety Recommendations and Medical Liability in Ocular Surgery during the COVID-19 Pandemic: An Unsolved Dilemma

1
Department of Surgical Science, University of Cagliari, Eye Clinic, via Ospedale 46, 09124 Cagliari, Italy
2
Department of Clinical Sciences and Public Health, University of Cagliari, Forensic Medicine Unit, 09124 Cagliari, Italy
3
Clinica Oculistica, San Giovanni di Dio Hospital, Azienda Ospedaliera Universitaria di Cagliari, 09124 Cagliari, Italy
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
J. Clin. Med. 2020, 9(5), 1403; https://doi.org/10.3390/jcm9051403
Received: 1 May 2020 / Accepted: 6 May 2020 / Published: 9 May 2020
(This article belongs to the Section Ophthalmology)
Ocular surgery is one of the most performed medical procedures in the world. Its limitation or suspension, recursively extended over time, could be associated with a significant increase in the number of blind people worldwide. Indeed, cataract causes more than half of all cases of visual impairment in those countries with limited availability of means for performing eye operations (e.g., Africa or India). In this scenario, the pandemic of coronavirus disease 2019 (COVID-19) quickly resulted in the suspension or sharp reduction of various ophthalmic activities considered non-urgent, including lens replacement surgery or some intraocular injections. Despite the imperative need to continuously practice eye operations to avoid the abovementioned problems, there are currently little-shared and vague recommendations among the various countries on safety in operating rooms (for health care workers and patients) and poor legal protection for surgeons (potentially transmitting the COVID-19 infectious agent). Herein, we individuated and discussed some critical points in safety recommendations and medical liability. A paradigm shift for ocular surgery during the COVID-19 era is now mandatory. While telemedicine has been able to solve some problems in clinical ophthalmology, the lack of adequate health and legal protection for surgeons and patients may result in an excessive reduction in the volume of surgical interventions during a pandemic era and the immediately following period, thus determining inability to ensure health care to all patients. View Full-Text
Keywords: COVID-19; ocular surgery; eye surgery; coronavirus; SARS-CoV-2; recommendations; medical liability; eye; guidelines COVID-19; ocular surgery; eye surgery; coronavirus; SARS-CoV-2; recommendations; medical liability; eye; guidelines
MDPI and ACS Style

Napoli, P.E.; Nioi, M.; d’Aloja, E.; Fossarello, M. Safety Recommendations and Medical Liability in Ocular Surgery during the COVID-19 Pandemic: An Unsolved Dilemma. J. Clin. Med. 2020, 9, 1403. https://doi.org/10.3390/jcm9051403

AMA Style

Napoli PE, Nioi M, d’Aloja E, Fossarello M. Safety Recommendations and Medical Liability in Ocular Surgery during the COVID-19 Pandemic: An Unsolved Dilemma. Journal of Clinical Medicine. 2020; 9(5):1403. https://doi.org/10.3390/jcm9051403

Chicago/Turabian Style

Napoli, Pietro E., Matteo Nioi, Ernesto d’Aloja, and Maurizio Fossarello. 2020. "Safety Recommendations and Medical Liability in Ocular Surgery during the COVID-19 Pandemic: An Unsolved Dilemma" Journal of Clinical Medicine 9, no. 5: 1403. https://doi.org/10.3390/jcm9051403

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