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The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention
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 contac...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205711/ https://www.ncbi.nlm.nih.gov/pubmed/32456959 http://dx.doi.org/10.1016/j.jemermed.2020.04.060 |
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author | Dockery, Dominique M. Rowe, Susannah G. Murphy, Marjorie A. Krzystolik, Magdalena G. |
author_facet | Dockery, Dominique M. Rowe, Susannah G. Murphy, Marjorie A. Krzystolik, Magdalena G. |
author_sort | Dockery, Dominique M. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7205711 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72057112020-05-08 The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention Dockery, Dominique M. Rowe, Susannah G. Murphy, Marjorie A. Krzystolik, Magdalena G. J Emerg Med Article 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. Elsevier Inc. 2020-07 2020-05-08 /pmc/articles/PMC7205711/ /pubmed/32456959 http://dx.doi.org/10.1016/j.jemermed.2020.04.060 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Dockery, Dominique M. Rowe, Susannah G. Murphy, Marjorie A. Krzystolik, Magdalena G. The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention |
title | The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention |
title_full | The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention |
title_fullStr | The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention |
title_full_unstemmed | The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention |
title_short | The Ocular Manifestations and Transmission of COVID-19: Recommendations for Prevention |
title_sort | ocular manifestations and transmission of covid-19: recommendations for prevention |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205711/ https://www.ncbi.nlm.nih.gov/pubmed/32456959 http://dx.doi.org/10.1016/j.jemermed.2020.04.060 |
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