Pardhan Shahina, Vaughan Megan, Zhang Jufen, Smith Lee, Chichger Havovi
Vision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, UK
Vision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, UK.
BMJ Open Ophthalmol. 2020 Nov 30;5(1):e000632. doi: 10.1136/bmjophth-2020-000632. eCollection 2020.
Conjunctivitis has been reported in people suffering from COVID-19. However, many ocular symptoms are associated with the term 'conjunctivitis' which may be misleading. It is also unknown whether ocular symptoms were different in chronic sufferers of anterior eye diseases, when they were experienced or how long they lasted for compared with other COVID-19 symptoms.
An online structured questionnaire obtained self-report data from people who had a confirmed diagnosis of COVID-19. Data for the type, frequency and duration of different COVID-19 symptoms were ascertained. Anterior eye symptoms experienced by participants in the pre-COVID-19 state were compared with during the COVID-19 state.
Data from 83 participants showed that the most reported COVID-19 symptoms were dry cough (66%), fever (76%), fatigue (90%) and loss of smell/taste (70%). The three most common ocular symptoms experienced by participants were photophobia (18%), sore eyes (16%) and itchy eyes (17%). The frequency of sore eyes was significantly higher (p0.002) during COVID-19 state (16%) compared with pre-COVID-19 state (5%). There were no differences between males and females (p>0.05). 81% of participants reported to have experienced ocular symptoms within 2 weeks of other COVID-19 symptoms, and 80% reported they lasted for less than 2 weeks.
The most significant ocular symptom experienced by people suffering from COVID-19 was sore eyes. Other symptoms associated with other types of conjunctivitis, such as mucous discharge and gritty eyes linked to bacterial infection, did not reach significance. The term 'conjunctivitis' is too broad and should be used with caution.
已有报告称新冠肺炎患者会出现结膜炎。然而，许多眼部症状都与“结膜炎”这一术语相关，这可能会产生误导。目前也不清楚患有眼前部疾病的慢性患者出现的眼部症状与其他新冠肺炎症状相比，在出现时是否有所不同，持续时间有多长。
通过在线结构化问卷获取确诊新冠肺炎患者的自我报告数据。确定不同新冠肺炎症状的类型、频率和持续时间。将参与者在感染新冠肺炎之前的眼部症状与感染期间的症状进行比较。
83名参与者的数据显示，报告最多的新冠肺炎症状是干咳（66%）、发热（76%）、疲劳（90%）和嗅觉/味觉丧失（70%）。参与者经历的三种最常见眼部症状是畏光（18%）、眼睛疼痛（16%）和眼睛瘙痒（17%）。与感染新冠肺炎之前（5%）相比，感染期间眼睛疼痛的频率显著更高（p<0.002）（16%）。男性和女性之间没有差异（p>0.05）。81%的参与者报告称在出现其他新冠肺炎症状的2周内出现了眼部症状，80%的参与者报告这些症状持续时间不到2周。
新冠肺炎患者经历的最显著眼部症状是眼睛疼痛。与其他类型结膜炎相关的其他症状，如与细菌感染相关的黏液分泌物和沙粒感眼睛，并不显著。“结膜炎”这个术语过于宽泛，应谨慎使用。
