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Guidelines and Recommendations for Tonometry Use during the COVID-19 Era
Enmar M Almazyad1, Sally Ameen2, Mohammad A Khan3
1Research Department, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
This review addresses the uncertainty surrounding Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) transmission via tears and its implications for tonometry. It provides evidence-based guidelines for ophthalmologists practicing during the COVID-19 pandemic.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, has significantly impacted eye care practices.
- Limited evidence exists regarding SARS-CoV-2 transmission through ocular routes, particularly tears.
- The role of the cornea and conjunctiva as infection gateways requires further investigation.
Purpose of the Study:
- To review current evidence on SARS-CoV-2 transmission through tears.
- To evaluate the risk of SARS-CoV-2 transmission via tonometry.
- To establish evidence-based recommendations for tonometry practice in the COVID-19 era.
Main Methods:
- Systematic review of existing literature on SARS-CoV-2 and ocular transmission.
- Analysis of case reports and studies related to tonometry and viral transmission.
- Consultation of international ophthalmological guidelines and best practices.
Main Results:
- Conflicting and weak evidence on SARS-CoV-2 transmission through tears.
- No documented cases of SARS-CoV-2 transmission through tonometry reported to date.
- Ocular surface (cornea, conjunctiva) as a potential, though not well-studied, route for infection.
Conclusions:
- Ophthalmologists need clear guidelines for safe tonometry during the COVID-19 pandemic.
- Recommendations focus on minimizing potential transmission risks.
- Further research is needed to clarify SARS-CoV-2 transmission dynamics in the ocular environment.
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