SARS-COV-2 in Ophthalmology : Current Evidence and Standards for Clinical Practice

INTRODUCTION: COVID-19 is caused by the coronavirus SARS-CoV-2. Ocular manifestations have been reported including conjunctivitis and retinal changes. Therefore, it is of the utmost importance to clarify eye involvement in COVID-19 in order to help with its diagnosis and to further prevent its transmission. The purpose of this review is to describe the structure and transmission of SARS-CoV-2, reported ocular findings and protection strategies for ophthalmologists.

MATERIAL AND METHODS: Literature search on PubMed for relevant articles using the keywords 'COVID-19', 'coronavirus', and 'SARS-CoV-2' in conjunction with 'ophthalmology' and 'eye'. Moreover, official recommendations of ophthalmological societies were reviewed.

RESULTS: Although the conjunctiva is directly exposed to extraocular pathogens, and the mucosa of the ocular surface and upper respiratory tract are connected by the nasolacrimal duct, the eye is rarely involved in human SARS-CoV-2 infection and the SARS-CoV-2 RNA positive rate by RT-PCR test in tears and conjunctival secretions from patients with COVID-19 is also extremely low.

DISCUSSION: The eye can be affected by SARS-CoV-2, which is supported by some reports of conjunctivitis and retinal changes, but its role in the spread of the disease is still unknown.

CONCLUSION: Given the current scarce evidence, more research is needed to clarify the relationship between SARS-CoV-2 and the eye.

Errataetall:

CommentIn: Acta Med Port. 2020 Oct 22;:. - PMID 33092689

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Acta medica portuguesa - 33(2020), 9 vom: 01. Sept., Seite 593-600

Sprache:

Englisch

Beteiligte Personen:

Torres-Costa, Sónia [VerfasserIn]
Lima-Fontes, Mário [VerfasserIn]
Falcão-Reis, Fernando [VerfasserIn]
Falcão, Manuel [VerfasserIn]

Links:

Volltext

Themen:

4QWG6N8QKH
886U3H6UFF
Antiviral Agents
COVID-19
Chloroquine
Conjunctivitis
Coronavirus Infections
Eye Diseases
Hydroxychloroquine
Journal Article
Ophthalmology
RNA, Viral
Receptor, Angiotensin, Type 2
Review
SARS-COV-2

Anmerkungen:

Date Completed 18.11.2020

Date Revised 18.02.2021

published: Print-Electronic

CommentIn: Acta Med Port. 2020 Oct 22;:. - PMID 33092689

Citation Status MEDLINE

doi:

10.20344/amp.14118

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312390378