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Comparing Objective Conjunctival Hyperemia Grading and the Ocular Surface Disease Index Score in Dry Eye Syndrome During COVID-19
Published on: May 25, 2022
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The ocular surface, coronaviruses and COVID-19.
Mark Dp Willcox1, Karen Walsh2, Jason J Nichols3
1School of Optometry and Vision Science, The University of New South Wales, Sydney, New South Wales, Australia.
Clinical & Experimental Optometry
|May 15, 2020
Summary
The ocular surface is unlikely to be a primary infection site for SARS-CoV-2, the virus causing COVID-19. While some evidence exists, conjunctivitis and viral isolation from the eye are rare in COVID-19 patients.
Area of Science:
- Ophthalmology
- Virology
- Infectious Diseases
Background:
- The ocular surface's potential role in SARS-CoV-2 infection is debated.
- SARS-CoV-2 uses ACE2 receptors for cellular entry.
- COVID-19 transmission occurs via respiratory droplets and contaminated surfaces.
Purpose of the Study:
- To review existing evidence on SARS-CoV-2 infection of the ocular surface.
- To assess the implications for clinical practice and patient hygiene.
Main Methods:
- A literature search was conducted on the Scopus database.
- 287 results were reviewed for evidence of ocular surface involvement.
Main Results:
- Preliminary evidence suggests ACE2 expression on corneal and conjunctival cells.
- Most viral receptors are located beneath ocular surface epithelia.
- Animal studies show limited evidence of ocular-to-lung viral spread.
- Conjunctivitis and viral isolation from ocular samples are rare in COVID-19 patients.
Conclusions:
- The ocular surface is unlikely to be a significant route for SARS-CoV-2 infection.
- Hypotheses of viral spread from nasopharynx to the eye are likely incorrect.
- Standard infection control and hygiene practices remain crucial during the pandemic.
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