Safe Contact Lens Practices during Coronavirus (COVID-19) Pandemic

S. Bhattarai
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Abstract

World is threatened by different variants of Coronavirus to an extent that life has been jeopardized in all services including eye care facility. Contact lenses which are one of the preferred modes of vision correction are not an exception to COVID-19 infection. Recently there is confusion among practitioners and patients regarding the safety of contact lens use during COVID-19. This review article summarizes the current recommendations and findings regarding contact lens use during COVID-19. Though eye health professionals and contact lens users are at risk to contract Coronavirus, with proper care, maintenance and disinfection techniques, it would be safe to continue wearing contact lenses. There is currently no strong evidence to suggest that contact lenses are not safe to wear during COVID 19 times. Eye care practitioners responsible for contact lens application must wear special surgical masks, protective glasses or visors and disposable waterproof gloves. Regarding soft contact lenses, preferably daily disposable lenses should be used from the sterile packages. Similarly for rigid gas permeable lenses, lenses made up of fluoropolymer contained in sealed packages must be motivated for the individuals. Since the infected hands can bring the virus to the eyes, contact lens users should avoid touching the nose, mouth and eye unnecessarily. Contact lens after each use must be disinfected with hydrogen peroxide solutions with a special catalyst container. In the case of eye redness and Flu like symptoms, contact lens trial and wearing practices should be suspended or postpone till the condition becomes normal. To minimize the contact time between the patient and examiner soft copy of the instruction sheet, teleconsultation should be motivated. Though the eye is an unlikely site for Coronavirus infection, eye doctors should warn the contact lens wearers to follow scrupulous contact lens hygiene rules.
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冠状病毒(COVID-19)大流行期间隐形眼镜的安全操作
世界受到不同冠状病毒变种的威胁,包括眼科保健机构在内的所有服务机构的生命都受到了威胁。隐形眼镜是首选的视力矫正方式之一,感染COVID-19也不例外。最近,医生和患者对COVID-19期间使用隐形眼镜的安全性感到困惑。这篇综述文章总结了目前关于COVID-19期间使用隐形眼镜的建议和发现。虽然眼科保健专业人员和隐形眼镜使用者有感染冠状病毒的风险,但通过适当的护理、维护和消毒技术,继续佩戴隐形眼镜是安全的。目前没有强有力的证据表明在COVID - 19期间佩戴隐形眼镜不安全。负责隐形眼镜应用的眼科医生必须佩戴特殊的外科口罩、防护眼镜或护目镜和一次性防水手套。对于软性隐形眼镜,最好使用无菌包装的日用一次性隐形眼镜。同样,对于刚性透气性镜片,由密封包装中的含氟聚合物制成的镜片必须对个人有激励作用。由于受感染的手可以将病毒带入眼睛,隐形眼镜使用者应避免不必要地接触鼻子、嘴巴和眼睛。隐形眼镜每次使用后必须用特殊催化剂容器中的双氧水溶液消毒。如果出现眼睛发红和流感样症状,应暂停或推迟佩戴隐形眼镜的试验和练习,直到病情恢复正常。为了尽量减少患者与审查员之间的接触时间,应鼓励远程会诊。虽然眼睛不太可能感染冠状病毒,但眼科医生应该提醒隐形眼镜佩戴者严格遵守隐形眼镜卫生规定。
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