COVID-19 Patient Screening
With the evolving status of the Coronavirus (COVID-19) outbreak we want to keep you abreast of the measures being taken at the Robert Cizik Eye Clinic to minimize the spread of the virus.
While our clinics remain open, as of 3/23/2020 only urgent ophthalmology appointments will be seen. All non-urgent and routine follow up appointments will be postponed and rescheduled for the next 3 weeks. All elective surgeries and procedures are also being postponed for the time being. This is to preserve resources and minimize unnecessary contact that puts individuals at risk for spread of the virus.
For those that need to be seen urgently, a screening protocol has been put in place for all patients and visitors to the clinic. To minimize the risk of exposure, please come by yourself or with no more than one visitor. Children and minors coming for visits are to be accompanied by no more than one parent or guardian.
The official protocol has been updated as of 3/24/2020 and is as follows:
Upon entry to the clinic, all patients and visitors will be asked the following questions and have their temperature screened:
- Do you have a fever?
- Do you have a recent/new onset cough (not related to allergies or COPD)?
- Do you have nasal congestion (not related to allergies or sinus infections)?
- Do you have a recent/new oust sore throat (not related to allergies)?
- Do you have a recent/new oust of shortness of berth (not related to chronic disease, asthma or COPD)?
- Do you have a recent/new onset diarrhea and fever?
- Are you living with someone that is quarantined or furloughed due to COVID-19?
- Have you been in contact with an individual positive or under investigation for COVID-19?
- Have you traveled outside of Texas in the last 14 days?
If the Patient Answers “No” to the Questions and does not have a fever:
- Proceed as usual.
- Educate patient: “If you start having at any time:
- Fever, cough, congestion, sore throat, shortness of breath, or diarrhea,
- OR if you are exposed to a quarantined individual, or an individual who is positive or under investigation for COVID-19,
- OR travel outside of Texas,
And you have scheduled an appointment; you must contact us (or the nurse triage line) again prior to your appointment so that we may assist you.”
If the Patient Answers “Yes” to Any Question or if they have a fever > 100.1 F:
- Call clinic management or designated provider to speak with patient.
- Clinic management or provider to decide disposition: Does the patient require medical care in the emergency room, in clinic, or are they able to manage symptoms at home?
- Unless deemed urgent by the provider, schedule the patient at least 14 days after exposure or per public health recommendations.
- Medical care in clinic: Provider discusses case with clinic management and take precautions to see patient: mask patient when arrives to clinic and go directly to a designated patient room. Limit staff that will have contact with patient. Consider asking patient to wait in car until called.
- Medical Care in Emergency Room: Tell patient you are organizing a place they can safely be evaluated. Discuss next steps with patient including telling them to wear a surgical mask upon arrival to medical care facility
- Manage symptoms at home: Educate patient*. Ask patient to remain at home. Report case to the Health department. Patient to notify call center or nurse triage line if they need assistance.
For Parents/Guardians/Visitors Accompanying Patients:
- Parent, guardian, or visitor who will accompany the patient should not answer yes to any of the questions.
- If the patient must be seen in a clinic with the parent, guardian, or visitor who answer yes to any of the questions, inform the parent, guardian, or visitor that they will be placed in isolation along with the patient.
If you have an emergency eye problem and have positive exposure or symptoms, please call us so that we may assist you with triaging your issue to the best location for you to be seen.
If you have travelled or you have had close contact with a person who is under investigation or confirmed with COVID-19 prior to your appointment, please contact us so that we may assist you with rescheduling your appointment.
If you develop signs and symptoms of respiratory illness at any time between now and your scheduled appointment, please contact your PCP for appropriate screening measures. We kindly ask that you provide us with clearance from your PCP prior to rescheduling your appointment.
This is an evolving situation and we will keep you abreast of changes to the screening protocol or any other developments as they are available. Please see the below links for more information from the CDC and the American Academy of Ophthalmology (AAO).
Thank you for your understanding and cooperation in these unprecedented times. We look forward to continuing to take care of your eye care needs.
“The mission of the Robert Cizik Eye Clinic is to assure that each patient receives the best eye care possible by a combination of professional expertise and the latest in ophthalmic equipment. Our modern facility is designed to make efficient use of space and human resources,” according to Dr. Ruiz.
Patients come to the Cizik Eye Clinic not only from the greater Houston area and throughout Texas, but also from all across the United States and around the world. The Eye Clinic’s affiliation with The University of Texas Medical School at Houston gives patients the benefit of treatment that draws from the Texas Medical Center and its superb research, development of new techniques, and high-tech equipment for diagnosis, treatment, surgery, and continuing therapy.
In addition to the highly qualified, experienced physicians and eye care specialists, the Eye Clinic has a friendly, efficient, and caring staff to ensure a satisfactory experience for every patient. It is designed to maximize patient flow for examination, special tests, and contact lens fitting.
Clinical care services at the Robert Cizik Eye Clinic include 26 examination rooms, two operating rooms, laser suites, ophthalmic imaging, electro-diagnostics, and a low vision and visual rehabilitation unit. In addition, we have recently opened a pediatric ophthalmology suite with 4 examination lanes specifically for our youngest patients.
We have a team of highly skilled eye care specialists committed to exceptional patient care and available to see patients with virtually any eye disorder. They offer a full range of services including routine eye examinations, the most advanced eye surgery, and specialized ophthalmic testing, all provided in an efficient, cost effective, and caring manner.
The practice of ophthalmology today is based on a growing body of medical knowledge and technology. With this growth has come the need for increased specialization, and in turn, a collaborative effort in the care of patients. although small in size, the eye is complex and represents a variety of tissue types functioning together as a unit – skin, muscle, glandular tissue, fat, pigmented tissue, collagen, protein, blood vessels, and brain tissue. The eye is located in a bony cavity called the orbit, surrounded by the sinuses, nose, and brain. With the multiplicity of tissue types and the complex structures around it, there is a need for sub-specialization and collaborative efforts with other specialists.
The ophthalmic sub-specialties represented in the Cizik Eye Clinic, include ophthalmic plastic, reconstruc-tive and orbital surgery, corneal and external disease, glaucoma, retina and vitreous, pediatric ophthalmology, and neuro-ophthalmology. Collaboration among the sub-specialists routinely occurs in the care of complicated eye conditions. The ophthalmic plastic surgeon consults with a corneal specialist regarding a burn victim, or the neuro-ophthalmologist consults with a retinal specialist regarding a rare hereditary retinopathy. This is the practice of ophthalmology at its best. The eye is part of the whole patient, and we at the Cizik Eye Center constantly use other physician specialists, laboratories, and the top-notch facilities of Memorial Hermann Hospital in the Texas Medical Center and The University of Texas Medical School at Houston.
All of the physicians at the Cizik Eye Clinic are faculty members in the Ruiz Department of Ophthalmology and Visual Science of The University of Texas Medical School at Houston. All are board certified by the American Board of Ophthalmology and are on the medical staffs of numerous facilities, most notably that of Memorial Hermann Hospital in the Texas Medical Center.