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COVID-19 in Ophthalmology. Current Disease Status and Challenges during Clinical Practice
Georgios Bontzos1, Anastasia Gkiala1, Christina Karakosta1
1Department of Ophthalmology, 'Korgialenio-Benakio' General Hospital, 11526 Athens, Greece.
Insights
Coronavirus disease 2019 (COVID-19) can affect the eyes, presenting various ocular manifestations. This review summarizes current evidence on COVID-19
Area of Science:
- Ophthalmology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic has significantly impacted global health, necessitating a review of its ocular implications.
- Understanding the ocular manifestations of COVID-19 is crucial for both patient and physician management.
- This review synthesizes existing literature on the pathogenetic and clinical aspects of COVID-19's impact on the eyes.
Discussion:
- COVID-19 primarily targets the respiratory system but can manifest in the eyes.
- Ocular symptoms associated with COVID-19 require careful consideration in diagnosis and patient care.
- Healthcare practices have adapted to minimize exposure risks during the pandemic.
Key Insights:
- A wide spectrum of ocular manifestations can occur in COVID-19 patients.
- Prioritizing urgent cases and remote monitoring for non-urgent cases are key management strategies.
- The review consolidates evidence from over 100 scientific articles.
Outlook:
- Further research is needed to fully understand the long-term ocular effects of COVID-19.
- Developing standardized protocols for managing ocular manifestations of COVID-19 is essential.
- Continued vigilance and adaptation of healthcare strategies are necessary in the ongoing pandemic.
Abstract:
Purpose: The novel coronavirus disease 2019 (COVID-19) has raised a global public health concern. The purpose of this review is to summarize the evidence currently available on COVID-19 for its ocular implications and manifestations from both pathogenetic and clinical standpoints. Methods: For this narrative review, more than 100 relevant scientific articles were considered from various databases (PubMed, Google Scholar, and Science Direct) using keywords such as coronavirus outbreak, COVID-19, ophthalmology, ocular symptoms. Results:Daily healthcare both from patient and physician perspective, as well as on some guidelines regarding prevention and management have dramatically changed over the last few months. Although COVID-19 infection mainly affects the respiratory system as well as the gastrointestinal, cardiovascular, and urinary systems, it may cause a wide spectrum of ocular manifestations. Various challenges have to be faced to minimize exposure for both patients and physicians. Conclusion:The risk of COVID-19 infection should be considered and medical care should be prioritized for urgent cases. Appropriate management for patients with chronic cases that may result in adverse outcomes should not be neglected, while patients that can be monitored remotely should be identified.
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