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Update and Recommendations for Ocular Manifestations of COVID-19 in Adults and Children: A Narrative Review
The coronavirus disease 2019 (COVID-19) pandemic has instigated severe global turmoil both medically and socioeconomically. Research continues to rapidly develop in order to fully comprehend the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This study focuses on the rare ophthalm...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Healthcare
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7558551/ https://www.ncbi.nlm.nih.gov/pubmed/33058068 http://dx.doi.org/10.1007/s40123-020-00310-5 |
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author | Danthuluri, Veena Grant, Maria B. |
author_facet | Danthuluri, Veena Grant, Maria B. |
author_sort | Danthuluri, Veena |
collection | PubMed |
description | The coronavirus disease 2019 (COVID-19) pandemic has instigated severe global turmoil both medically and socioeconomically. Research continues to rapidly develop in order to fully comprehend the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This study focuses on the rare ophthalmologic manifestations of the SARS-CoV-2 disease process in both adults and children. There is evidence to suggest that viral transmission can occur via tears and conjunctival secretions, although it is not a predominant finding. This review considers all the published studies describing ocular findings and SARS-CoV-2 viral transmission through the eye. The review addresses the ongoing debate over the importance of ocular manifestations during this pandemic. The most updated safety guidelines, protocols, timelines of ocular manifestations during the disease course, and treatment recommendations are discussed. The majority of patients with COVID-19 with eye symptoms presented with them initially. It is possible that the virus becomes inoculated at the site of the eye and spreads via the nasolacrimal duct to the respiratory system. There are also some reports which show that ocular findings present later in the disease course, suggestive of a correlation between ocular manifestation and increased disease severity as the infection becomes systemic. We highlight the importance of recognizing conjunctivitis as an early finding of COVID-19, and that testing or appropriate follow-up could be beneficial in both the pediatric and adult populations. |
format | Online Article Text |
id | pubmed-7558551 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Healthcare |
record_format | MEDLINE/PubMed |
spelling | pubmed-75585512020-10-15 Update and Recommendations for Ocular Manifestations of COVID-19 in Adults and Children: A Narrative Review Danthuluri, Veena Grant, Maria B. Ophthalmol Ther Review The coronavirus disease 2019 (COVID-19) pandemic has instigated severe global turmoil both medically and socioeconomically. Research continues to rapidly develop in order to fully comprehend the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This study focuses on the rare ophthalmologic manifestations of the SARS-CoV-2 disease process in both adults and children. There is evidence to suggest that viral transmission can occur via tears and conjunctival secretions, although it is not a predominant finding. This review considers all the published studies describing ocular findings and SARS-CoV-2 viral transmission through the eye. The review addresses the ongoing debate over the importance of ocular manifestations during this pandemic. The most updated safety guidelines, protocols, timelines of ocular manifestations during the disease course, and treatment recommendations are discussed. The majority of patients with COVID-19 with eye symptoms presented with them initially. It is possible that the virus becomes inoculated at the site of the eye and spreads via the nasolacrimal duct to the respiratory system. There are also some reports which show that ocular findings present later in the disease course, suggestive of a correlation between ocular manifestation and increased disease severity as the infection becomes systemic. We highlight the importance of recognizing conjunctivitis as an early finding of COVID-19, and that testing or appropriate follow-up could be beneficial in both the pediatric and adult populations. Springer Healthcare 2020-10-15 2020-12 /pmc/articles/PMC7558551/ /pubmed/33058068 http://dx.doi.org/10.1007/s40123-020-00310-5 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Review Danthuluri, Veena Grant, Maria B. Update and Recommendations for Ocular Manifestations of COVID-19 in Adults and Children: A Narrative Review |
title | Update and Recommendations for Ocular Manifestations of COVID-19 in Adults and Children: A Narrative Review |
title_full | Update and Recommendations for Ocular Manifestations of COVID-19 in Adults and Children: A Narrative Review |
title_fullStr | Update and Recommendations for Ocular Manifestations of COVID-19 in Adults and Children: A Narrative Review |
title_full_unstemmed | Update and Recommendations for Ocular Manifestations of COVID-19 in Adults and Children: A Narrative Review |
title_short | Update and Recommendations for Ocular Manifestations of COVID-19 in Adults and Children: A Narrative Review |
title_sort | update and recommendations for ocular manifestations of covid-19 in adults and children: a narrative review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7558551/ https://www.ncbi.nlm.nih.gov/pubmed/33058068 http://dx.doi.org/10.1007/s40123-020-00310-5 |
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