The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention
Autor: | Susannah Rowe, Marjorie A Murphy, Magdalena G. Krzystolik, Dominique M. Dockery |
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Rok vydání: | 2020 |
Předmět: |
Face shield
medicine.medical_specialty business.product_category Conjunctiva Eye Diseases Coronavirus disease 2019 (COVID-19) viruses Respiratory System Eye Virus Replication medicine.disease_cause Tropism Article Virus 03 medical and health sciences 0302 clinical medicine conjunctivitis medicine ophthalmic precautions Humans 030212 general & internal medicine Respiratory Tract Infections Follicular conjunctivitis Coronavirus SARS-CoV-2 Transmission (medicine) business.industry COVID-19 ocular transmission Dermatology eye diseases medicine.anatomical_structure Virus Diseases Viruses 030221 ophthalmology & optometry Emergency Medicine Receptors Virus Tears sense organs business |
Zdroj: | The Journal of Emergency Medicine |
ISSN: | 0736-4679 |
DOI: | 10.1016/j.jemermed.2020.04.060 |
Popis: | Background Coronavirus disease-2019 (COVID-19), caused by a novel coronavirus termed severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has been linked to ocular signs and symptoms in several case reports. Research has demonstrated that SARS-CoV-2 is spread primarily through close contact via respiratory droplets, but there is the possibility for ocular transmission, with the conjunctiva as a conduit as well as a source of infection. Discussion Ocular manifestations of SARS-CoV-2 include follicular conjunctivitis, and have been repeatedly noted as an initial or subsequent symptom of COVID-19-positive patients. Particularly in patients with ocular manifestations, there is evidence that the virus may present in tears, based on the detection of SARS-CoV-2 in conjunctival swab samples via reverse transcription polymerase chain reaction. The virus may therefore be transmittable from the ocular surface to a new host via contact with the ocular mucosa, tears, or subsequent fomites. Conclusions All health care professionals should ask patients about ocular symptoms consistent with SARS-CoV-2, and use eye protection such as goggles or face shields as part of the standard personal protective equipment for high-risk patients in addition to wearing of masks by both the patient and provider, and should consider tears to be potentially infectious. |
Databáze: | OpenAIRE |
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