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Precaution and prevention of coronavirus disease 2019 infection in the eye.
J Chin Med Assoc. 2020 07; 83(7):648-650.JC

Abstract

Although current studies suggested that conjunctivitis is not a common presentation of coronavirus disease 2019 (COVID-19), several studies have reported the presence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in ocular secretions. Coronavirus had not yet been successfully cultured from tears or conjunctival swabs in humans, neither SARS-CoV-2 nor SARS-CoV. However, live feline coronavirus has been isolated from conjunctival swabs. In addition, infection of COVID-19 through unprotected eye exposure had been suspected in several articles. Reports of ophthalmologists and otolaryngologists died of COVID-19 also raised concern on ocular transmission. As a result, we strongly suggest that personal protective equipment (PPE) should cover the mouth, nose, and eyes of ophthalmologists, especially when conjunctivitis caused by SARS-CoV-2 is clinically indistinguishable from other viral follicular conjunctivitis.

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Authors+Show Affiliations

Chen MJ
Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Chang KJ
Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC.
Hsu CC
Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC. Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
Lin PY
Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC.
Jui-Ling Liu C
Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC.

MeSH

BetacoronavirusCOVID-19Conjunctivitis, ViralCoronavirus InfectionsHumansPandemicsPersonal Protective EquipmentPneumonia, ViralSARS-CoV-2

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32332516

Citation

Chen, Meng-Jou, et al. "Precaution and Prevention of Coronavirus Disease 2019 Infection in the Eye." Journal of the Chinese Medical Association : JCMA, vol. 83, no. 7, 2020, pp. 648-650.
Chen MJ, Chang KJ, Hsu CC, et al. Precaution and prevention of coronavirus disease 2019 infection in the eye. J Chin Med Assoc. 2020;83(7):648-650.
Chen, M. J., Chang, K. J., Hsu, C. C., Lin, P. Y., & Jui-Ling Liu, C. (2020). Precaution and prevention of coronavirus disease 2019 infection in the eye. Journal of the Chinese Medical Association : JCMA, 83(7), 648-650. https://doi.org/10.1097/JCMA.0000000000000334
Chen MJ, et al. Precaution and Prevention of Coronavirus Disease 2019 Infection in the Eye. J Chin Med Assoc. 2020;83(7):648-650. PubMed PMID: 32332516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Precaution and prevention of coronavirus disease 2019 infection in the eye. AU - Chen,Meng-Jou, AU - Chang,Kao-Jung, AU - Hsu,Chih-Chien, AU - Lin,Pei-Yu, AU - Jui-Ling Liu,Catherine, PY - 2020/4/26/pubmed PY - 2020/7/14/medline PY - 2020/4/26/entrez SP - 648 EP - 650 JF - Journal of the Chinese Medical Association : JCMA JO - J Chin Med Assoc VL - 83 IS - 7 N2 - Although current studies suggested that conjunctivitis is not a common presentation of coronavirus disease 2019 (COVID-19), several studies have reported the presence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in ocular secretions. Coronavirus had not yet been successfully cultured from tears or conjunctival swabs in humans, neither SARS-CoV-2 nor SARS-CoV. However, live feline coronavirus has been isolated from conjunctival swabs. In addition, infection of COVID-19 through unprotected eye exposure had been suspected in several articles. Reports of ophthalmologists and otolaryngologists died of COVID-19 also raised concern on ocular transmission. As a result, we strongly suggest that personal protective equipment (PPE) should cover the mouth, nose, and eyes of ophthalmologists, especially when conjunctivitis caused by SARS-CoV-2 is clinically indistinguishable from other viral follicular conjunctivitis. SN - 1728-7731 UR - https://www.unboundmedicine.com/medline/citation/32332516/Precaution_and_prevention_of_coronavirus_disease_2019_infection_in_the_eye_ DB - PRIME DP - Unbound Medicine ER -