Erdinest Nir, London Naomi, Morad Yair
Department of Ophthalmology, Hadassah-Hebrew University Medical Center.
Private clinic, Jerusalem, Israel.
Harefuah. 2021 Feb;160(2):68-72.
The severe acute respiratory syndrome (SARS-CoV-2) or coronavirus disease (COVID-19) is caused by a single-strand RNA virus that first began spreading in December 2019 and evolved to a global pandemic within a few months. It's transmission is primarily through direct contact of the virus with mucous membranes which possess angiotensin-converting enzyme) ACE2(. Ocular manifestations of COVID-19 are extremely rare and there is only evidence of low quantities of ACE2 in ocular tissue. Yet both the environment of the contact lens practice and the wearing of contact lenses present high potential risk of inadvertent infection. The data to date suggests no evidence of contracting COVID-19 through contact lenses and very little data supporting the possibility of coronavirus adherence to the ocular surface. To minimize opportunity for infection, practitioners may decide to delay non-essential visits. When they do examine, clinicians should wear personal protective gear as well as protective shields on equipment and include a thorough disinfecting of surfaces and equipment protocol between each examination. Patients should be reminded about the importance of appropriate contact lens hygene, namely hand washing with soap and water, drying with single use paper prior and after handling of lenses, proper disinfection and replacement of lenses and cases. Patients should not wear lenses when feeling ill and should be advised to consciously refrain from face touching to avoid unintentional contamination. This article reviews the information available to date related to contact lens wearers and their caregivers during this still-evolving crisis.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)或冠状病毒病(COVID-19)由一种单链RNA病毒引起,该病毒于2019年12月开始传播,并在几个月内演变成全球大流行。它主要通过病毒与含有血管紧张素转换酶(ACE2)的粘膜直接接触进行传播。COVID-19的眼部表现极为罕见,且仅有证据表明眼部组织中存在少量ACE2。然而,隐形眼镜验配环境以及佩戴隐形眼镜都存在意外感染的高潜在风险。迄今为止的数据表明,没有证据显示通过隐形眼镜感染COVID-19,而且几乎没有数据支持冠状病毒附着于眼表的可能性。为了尽量减少感染机会,从业者可能会决定推迟非必要的就诊。当他们进行检查时,临床医生应佩戴个人防护装备以及设备上的防护面罩,并在每次检查之间对表面和设备进行彻底消毒。应提醒患者注意适当的隐形眼镜卫生的重要性,即使用肥皂和水洗手,在处理镜片前后用一次性纸巾擦干,正确消毒和更换镜片及镜盒。患者生病时不应佩戴镜片,并应被建议有意识地避免触摸面部以避免意外污染。本文回顾了在这场仍在演变的危机期间,与隐形眼镜佩戴者及其护理人员相关的现有信息。