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Surgical microscope drape used as a tent over patient to prevent aerosol dissemination during phacoemulsification.

During these challenging times of the COVID-19 pandemic, ophthalmologists are at high risk for contracting the virus during ocular examination or surgery. The virus has been isolated from the conjunctiva of infected patients and can be transmitted via fomites, droplets, and aerosols. 1–3 It can also be contracted from asymptomatic patients as in the case of -, a 34-year-old ophthalmologist at the Central Hospital of Wuhan, who contracted the virus from an asymptomatic glaucoma patient and subsequently died. 4 Viral transmission from patients exhibiting no symptoms in the operating room is possible and efforts to reduce risk to healthcare providers include reducing aerosolization and wearing appropriate personal protective equipment (PPE). 5 Hence every patient scheduled for ophthalmic examination or ocular surgery should be considered as COVID-19 + and suitable PPE and transmission preventive protocols should be implemented. Full PPE for aerosol generating procedures includes filtering FFP3 masks, face shields or protective goggles and these can limit the performance of the surgeon.