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Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

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COVID-19

COVID-19 Guidelines for Triage of Ophthalmology Patients

Online March 24, 2020

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The American Academy of Ophthalmology has released recommendations regarding urgent and nonurgent patient care. According to the statement, all ophthalmologists should cease providing any treatment other than urgent or emergent care immediately. This includes both office-based care and surgical care. For specific procedures, see table below.

List of Urgent/Emergent Ophthalmic Surgeries
March 27, 2020

Surgical Procedure

Indications

Biopsy of orbit 

Suspected intraocular malignancy or immediate sight-threatening condition

Biopsy of temporal artery
Suspected giant cell arteritis
Brachytherapy 
Intraocular malignancy
Cantholysis
Sight-threatening conditions
Canthotomy
Sight-threatening conditions
Cataract surgery
Congenital cataract in the amblyopic period, monocular patients with documented vision loss precluding driving, reading or self-care, lens-induced glaucoma, angle-closure glaucoma, acute lens complications, or severe anisometropia of fellow eye post recent lens extraction in first eye
Closure of cyclodialysis cleft
Sight-threatening hypotony due to trauma
Corneal transplantation
Pediatric patients with corneal blindness in both eyes in their amblyopic period
Decompression of dacryocele
Neonate with obstructive respiratory compromise
Decompression of orbit
Orbital tumor with impending vision loss
Drainage of abscess
Orbital cellulitis
Drainage of choroidals
Appositional choroidal effusion, suprachoroidal hemorrhage, or flat anterior chamber
Enucleation
Ocular trauma, infection, intractable glaucoma, globe perforation, intractable pain, or intraocular malignancy
Evisceration
Sight-threatening infection, or intractable pain
Examination under anesthesia 
Pediatric patients with retinoblastoma, endophthalmitis, Coats Disease, uveitis, glaucoma, ocular trauma, retinal detachment, or presumed intraocular foreign body 
Excision of tumors
Malignancy or sight-threatening tumor
Exenteration
Life-threatening infection
Exploration of orbit
Life-threatening or sight-threatening conditions
Fenestration of optic nerve sheath
Progressive vision loss
Filtration surgery
Uncontrolled intraocular pressure that is sight-threatening who are poor candidates for trabeculectomy or aqueous tube shunts
Frontalis sling 
Sight-threatening congenital ptosis 
Goniotomy ab externo or ab interno
Uncontrolled intraocular pressure that is sight-threatening
Insertion of drainage implant with or without graft
Catastrophic or rapidly progressive glaucoma
Laser indirect retinopexy – complex
Retinal detachment, retinal tear, or ocular trauma
Laser photocoagulation 
Pediatric patients with retinopathy of prematurity (if this can’t be in NICU) 
Pars plana lensectomy
Acute lens complications
Peeling of membrane/internal limiting membrane 
Proliferative diabetic retinopathy, proliferative vitreoretinopathy, complex preretinal membrane, complex macular pathology, or macular hole
Pneumatic retinopexy
Retinal detachment
Probing of nasolacrimal duct 
Dacryocystocele
Reconstruction of ocular surface or other tectonic procedures
Acute chemical injury, or acute Stevens Johnson Syndrome
Removal of aqueous drainage implant
Endophthalmitis, corneal touch, corneal decompensation, or exposed plate 
Removal of intraocular foreign body 
Presumed intraocular foreign body
Repair of anterior segment or cornea
Lacerations, blunt rupture, or deeply embedded corneal foreign body
Repair of canalicular laceration 
Injury or trauma to their canaliculus
Repair of dehiscence of corneal graft or other anterior segment wound
Wound dehiscence or other wounds, including dislocated LASIK flaps
Repair of extrusion or complication of keratoprosthesis
Complications with implanted devices in their cornea or anterior segment
Repair of eyelid/face
Lacerations of eyelid or face
Repair of facial fractures
Displaced facial bone fractures
Repair of open globe 
Ocular trauma 
Repair of operative wound(s)
Bleb leaks, wound leaks, overfiltration, underfiltration, bleb scarring, sight-threatening hypotony, or shallow anterior chamber
Repair of orbital fracture
Hemodynamic instability or oculocardiac reflex
Repair of perforation or impending perforation of cornea or sclera
Corneal and scleral injury or trauma
Retrobulbar injection
Pain due to ocular diseases causing significant compromise of quality of life
Revision of drainage implant with or without graft
Implant/tube exposure that might be sight threatening, endophthalmitis, malpositioned tube endangering eye or excessive inflammation, a tube that might worsen vision due to corneal edema or iritis or cystoid macular edema, or with a severe tube malposition causing rapid visual loss
Scleral buckle
Retinal detachment, ocular trauma, intraocular infection, vitreous hemorrhage, retinal tear, or intraocular foreign body
Synechiolysis
Lens-induced glaucoma or angle-closure glaucoma
Tarsorrhaphy
Impending corneal compromise
Trabeculectomy with or without scarring
Catastrophic or rapidly progressive glaucoma and markedly elevated intraocular pressure, or uncontrolled secondary or primary glaucoma
Trabeculotomy
Uncontrolled intraocular pressure that is sight-threatening
Transscleral cyclophotocoagulation
Uncontrolled glaucoma or absolute glaucoma with a blind and painful eye
Vitrectomy
Retinal detachment, ocular trauma, intraocular infection, vitreous hemorrhage, retinal tear, intraocular foreign body, misdirected aqueous, ciliary block glaucoma, malignant glaucoma, a vitreous prolapse, or a tube shunt that blocks filtration
Washout of the anterior chamber
Hyphema that is sight-threatening