冠状病毒病2019 (COVID-19)眼部表现:治疗与预防

S. Bhattarai
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摘要

SARS-CoV-2是一种冠状病毒,可导致COVID-19并伴有轻度至重度呼吸道疾病。它是一种高度传染性疾病,主要通过呼吸道飞沫直接或间接接触受感染者或受污染的表面传播。发表了几篇研究文章,评估了2019冠状病毒病患者的眼部表现。通常,患者首先出现眼部症状,然后出现全身症状。甚至从眼表也有可能通过眼睛的眼泪和其他分泌物传播。COVID-19最常见的初始症状是滤泡性结膜炎伴急性和弥漫性双侧红眼。类似的其他眼部表现包括角膜上皮下浸润伴上皮缺损、表皮炎、急性葡萄膜前炎、视网膜炎、视神经炎、白内障、玻璃体出血和脑神经麻痹。作为眼部表现的补救措施,口服利巴韦林已用于视力威胁的情况下。对于轻度至中度眼部症状,目前使用抗组胺滴眼液加眼润滑液和冷敷。为安全起见,并防止从眼表传播,所有眼科医生在眼科手术期间应穿戴个人防护装备,包括防护服、手套、口罩和面罩。
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Ocular Manifestations of Coronavirus Disease 2019 (COVID-19): Its Remedy and Prevention
SARS-CoV-2 is a Coronavirus that causes COVID-19 with mild to severe respiratory illness. It is highly contagious disease transmitted through direct or indirect contact with infected people or contaminated surfaces mainly through respiratory droplets. Several research articles are published which evaluated the ocular findings in patients with Coronavirus disease 2019. Commonly patients are suffering from initial ocular symptoms followed by systemic symptoms of the disease. Transmission even from the ocular surface could be possible via tears and other secretions through eyes. The most frequently noted initial symptom of COVID-19 is follicular conjunctivitis with acute and diffuse bilateral red eye. Similarly other ocular manifestations include eye Corneal sub epithelial infiltrates with epithelial defects,episclerits,acute anterior Uveitis, Retinitis, Optic neuritis, Cataract, Vitreous hemorrhages and cranial nerve palsies. As a remedy for ocular manifestation, orally administered Ribavirin has been used in vision threatening cases. For mild to moderate ocular symptoms ,antihistaminic eye drops with ocular lubricating drops and cool compress are till now applied. To be in safe side and to prevent the transmission from the ocular surfaces, all eye care practitioners are advised to wear personal protective equipment including gowns, gloves, masks and face shields during the ophthalmic procedures.
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