Novel Coronavirus disease 2019 (COVID-19): The importance of recognising possible early ocular manifestation and using protective eyewear

SARS emerged in 2003 and caused the first pandemic of the 21st century, affecting more than 8000 people, killing 774 in 26 countries.5 MERS coronavirus (MERS-CoV) was isolated in 20126 and has seen over 2400 cases reported to WHO to date, and over 850 deaths.7 Of the 2223 laboratory-confirmed MERS-C...

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Vydané v:British journal of ophthalmology Ročník 104; číslo 3; s. 297 - 298
Hlavní autori: Li, Ji-Peng Olivia, Lam, Dennis Shun Chiu, Chen, Youxin, Ting, Daniel Shu Wei
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England BMJ Publishing Group LTD 01.03.2020
Predmet:
Betacoronavirus - isolation & purification
Coronavirus Infections - transmission
Coronaviruses
COVID-19
Disease prevention
Epidemiology
Eye - virology
Eye protection
Eye Protective Devices
Humans
Infections
Laboratories
Medical personnel
Pneumonia
Pneumonia, Viral - transmission
Public health
Respiratory diseases
SARS-CoV-2
Viruses
Writing
Middle East
East Asia
Singapore
China
epidemiology
infection
public health
conjunctiva
ISSN:0007-1161, 1468-2079, 1468-2079
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Abstract SARS emerged in 2003 and caused the first pandemic of the 21st century, affecting more than 8000 people, killing 774 in 26 countries.5 MERS coronavirus (MERS-CoV) was isolated in 20126 and has seen over 2400 cases reported to WHO to date, and over 850 deaths.7 Of the 2223 laboratory-confirmed MERS-CoV cases reported to WHO, 415 were healthcare workers, representing over one-third of all secondary transmission.8 SARS and MERS spread principally by direct transmission and respiratory droplets.9 10 However, SARS-CoV, and perhaps also MERS-CoV, may shed and be transferred to environmental surfaces, and thence contaminate hands and mucous membranes subsequently.10 Ocular involvement has not been described with either MERS-CoV or SARS-CoV11–13 although polymerase chain reaction on tears from patients with SARS-CoV infection demonstrated presence of the virus.14 There is also evidence that some coronavirus can occasionally cause conjunctivitis in humans. [...]human coronavirus NL 63 (HCoV-NL63) was first identified in a baby with bronchiolitis and conjunctivitis.15 Subsequent in 28 cases of children with confirmed HCoV-NL63 infections, 17% had conjunctivitis.16 There is now growing evidence that human-to-human transmission is occurring among close contacts, and reports that >1,700 healthcare professionals having been infected with 6 deaths including oneophthalmologist.17–19 Of the affected healthcare workers, one was part of the expert task force who visited Wuhan, and he has reflected on his experience of the disease. The usual measures that apply to prevention of infection transmission, in particular thorough handwashing, should apply. [...]we learn more, it is prudent to avoid touching the eyes where possible in at risk locations, in particular for healthcare workers in the hospital environment. Healthcare professionals should take the full recommended measures including strict hand hygiene and protecting the exposed mucous membranes, including wearing goggles or face masks.25 It would be prudent to question patients directly if they had any symptoms and signs of conjunctivitis prior respiratory and other systemic symptoms to help further our understanding of the natural history of the disease.
AbstractList SARS emerged in 2003 and caused the first pandemic of the 21st century, affecting more than 8000 people, killing 774 in 26 countries.5 MERS coronavirus (MERS-CoV) was isolated in 20126 and has seen over 2400 cases reported to WHO to date, and over 850 deaths.7 Of the 2223 laboratory-confirmed MERS-CoV cases reported to WHO, 415 were healthcare workers, representing over one-third of all secondary transmission.8 SARS and MERS spread principally by direct transmission and respiratory droplets.9 10 However, SARS-CoV, and perhaps also MERS-CoV, may shed and be transferred to environmental surfaces, and thence contaminate hands and mucous membranes subsequently.10 Ocular involvement has not been described with either MERS-CoV or SARS-CoV11–13 although polymerase chain reaction on tears from patients with SARS-CoV infection demonstrated presence of the virus.14 There is also evidence that some coronavirus can occasionally cause conjunctivitis in humans. [...]human coronavirus NL 63 (HCoV-NL63) was first identified in a baby with bronchiolitis and conjunctivitis.15 Subsequent in 28 cases of children with confirmed HCoV-NL63 infections, 17% had conjunctivitis.16 There is now growing evidence that human-to-human transmission is occurring among close contacts, and reports that >1,700 healthcare professionals having been infected with 6 deaths including oneophthalmologist.17–19 Of the affected healthcare workers, one was part of the expert task force who visited Wuhan, and he has reflected on his experience of the disease. The usual measures that apply to prevention of infection transmission, in particular thorough handwashing, should apply. [...]we learn more, it is prudent to avoid touching the eyes where possible in at risk locations, in particular for healthcare workers in the hospital environment. Healthcare professionals should take the full recommended measures including strict hand hygiene and protecting the exposed mucous membranes, including wearing goggles or face masks.25 It would be prudent to question patients directly if they had any symptoms and signs of conjunctivitis prior respiratory and other systemic symptoms to help further our understanding of the natural history of the disease.
Author Lam, Dennis Shun Chiu
Ting, Daniel Shu Wei
Chen, Youxin
Li, Ji-Peng Olivia
Author_xml – sequence: 1
  givenname: Ji-Peng Olivia
  surname: Li
  fullname: Li, Ji-Peng Olivia
  email: daniel.ting.s.w@singhealth.com.sg
  organization: Moorfields Eye Hospital, London, UK
– sequence: 2
  givenname: Dennis Shun Chiu
  surname: Lam
  fullname: Lam, Dennis Shun Chiu
  email: daniel.ting.s.w@singhealth.com.sg
  organization: International Eye Research Institute of the Chinese University of Hong Kong (Shenzhen), Shenzhen, China
– sequence: 3
  givenname: Youxin
  surname: Chen
  fullname: Chen, Youxin
  email: daniel.ting.s.w@singhealth.com.sg
  organization: Department of Ophthalmology, Peking Union Medical College Hospital, Beijing, China
– sequence: 4
  givenname: Daniel Shu Wei
  orcidid: 0000-0003-2264-7174
  surname: Ting
  fullname: Ting, Daniel Shu Wei
  email: daniel.ting.s.w@singhealth.com.sg
  organization: State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangzhou, China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32086236$$D View this record in MEDLINE/PubMed
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PublicationTitle British journal of ophthalmology
PublicationTitleAlternate Br J Ophthalmol
PublicationYear 2020
Publisher BMJ Publishing Group LTD
Publisher_xml – name: BMJ Publishing Group LTD
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Snippet SARS emerged in 2003 and caused the first pandemic of the 21st century, affecting more than 8000 people, killing 774 in 26 countries.5 MERS coronavirus...
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SubjectTerms Betacoronavirus - isolation & purification
Coronavirus Infections - transmission
Coronaviruses
COVID-19
Disease prevention
Epidemiology
Eye - virology
Eye protection
Eye Protective Devices
Humans
Infections
Laboratories
Medical personnel
Pneumonia
Pneumonia, Viral - transmission
Public health
Respiratory diseases
SARS-CoV-2
Viruses
Writing
Title Novel Coronavirus disease 2019 (COVID-19): The importance of recognising possible early ocular manifestation and using protective eyewear
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