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Original Research

Restructuring Wet Age-Related Macular Degeneration Services During the COVID-19 Pandemic to Allow Social Distancing Outpatient Clinics (SDOC)

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Pages 651-659 | Published online: 17 Feb 2021

Figures & data

Table 1 Changes Introduced to our Wet AMD Clinic to Allow Social Distancing (SDOC)

Figure 1 (A) Clinic flow prior to COVID-19: a) patient check-in reception desk, b) patient sits in waiting area, c) patient gets a vision check and waits again in the waiting area, d) OCT scan and waiting area, e) consultation and waiting area, f) sub–waiting area injection, g) intravitreal anti-VEGF injection, h) checkout for follow-up appointment. (B) Social distancing outpatient clinic setup. Waiting-room chairs are removed to a minimum and not usually used, and the second chair in clinic rooms for relatives or friends is removed. The clinic rooms are used as waiting areas prior to consultation and injection: a) temperature check and COVID-19 questionnaire, b) direct transfer to vision bays, c) OCT scan, d) patient transfer to clinic room, d) patient transfer to injection room, e) patient leaves the unit via the reception desk with the follow-up appointment.

Abbreviation: OCT, optical coherence tomography.
Figure 1 (A) Clinic flow prior to COVID-19: a) patient check-in reception desk, b) patient sits in waiting area, c) patient gets a vision check and waits again in the waiting area, d) OCT scan and waiting area, e) consultation and waiting area, f) sub–waiting area injection, g) intravitreal anti-VEGF injection, h) checkout for follow-up appointment. (B) Social distancing outpatient clinic setup. Waiting-room chairs are removed to a minimum and not usually used, and the second chair in clinic rooms for relatives or friends is removed. The clinic rooms are used as waiting areas prior to consultation and injection: a) temperature check and COVID-19 questionnaire, b) direct transfer to vision bays, c) OCT scan, d) patient transfer to clinic room, d) patient transfer to injection room, e) patient leaves the unit via the reception desk with the follow-up appointment.

Figure 2 Follow-up interval of wet age-related macular degeneration patients who were seen during UK lockdown between March 23, 2020 and April 17, 2020 (n=597).

Figure 2 Follow-up interval of wet age-related macular degeneration patients who were seen during UK lockdown between March 23, 2020 and April 17, 2020 (n=597).

Figure 3 Number of patients requiring treatment before 8 weeks, at 8 weeks, and later than 8 weeks and consequence when compared to treatment as per the Royal College of Ophthalmologists COVID-19 age-related macular degeneration guidelines.

Figure 3 Number of patients requiring treatment before 8 weeks, at 8 weeks, and later than 8 weeks and consequence when compared to treatment as per the Royal College of Ophthalmologists COVID-19 age-related macular degeneration guidelines.

Table 2 Summary of Published Guidance for Treatment of wAMD Patients During the COVID-19 Pandemic