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眼科领域中对新型冠状病毒肺炎的考量

Considerations of COVID-19 in Ophthalmology.

作者信息

Salvetat Maria Letizia, Musa Mutali, Pellegrini Francesco, Salati Carlo, Spadea Leopoldo, Zeppieri Marco

机构信息

Department of Ophthalmology, Azienda Sanitaria Friuli Occidentale, 33170 Pordenone, Italy.

Department of Optometry, University of Benin, Benin City 300238, Edo State, Nigeria.

出版信息

Microorganisms. 2023 Aug 31;11(9):2220. doi: 10.3390/microorganisms11092220.

Abstract

Since its emergence in early 2020, the SARS-CoV-2 infection has had a significant impact on the entire eye care system. Ophthalmologists have been categorized as a high-risk group for contracting the virus due to the belief that the eye may be a site of inoculation and transmission of the SARS-CoV-2 infection. As a result, clinical ophthalmologists, optometrists, and eyecare professionals have had to familiarize themselves with the ocular manifestations of COVID-19, as well as its treatments and vaccines. The implementation of measures to prevent the transmission of the virus, such as restrictions, lockdowns, telemedicine, and artificial intelligence (AI), have led to substantial and potentially irreversible changes in routine clinical practice, education, and research. This has resulted in the emergence of a new mode of managing patients in a routine clinical setting. This brief review aims to provide an overview of various aspects of COVID-19 in ophthalmology, including the ocular manifestations related to the disease, the modes of transmission of SARS-CoV-2 infection, precautions taken in ophthalmic practice to prevent the spread of the virus, drugs, and vaccines used in the treatment of COVID-19, the impact of the pandemic on patients, clinicians, and the eye care system as a whole, and the future of ophthalmology conditioned by this global pandemic experience.

摘要

自2020年初出现以来,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染对整个眼科医疗系统产生了重大影响。由于人们认为眼睛可能是SARS-CoV-2感染的接种和传播部位,眼科医生被归类为感染该病毒的高风险群体。因此,临床眼科医生、验光师和眼保健专业人员必须熟悉新型冠状病毒肺炎(COVID-19)的眼部表现及其治疗方法和疫苗。实施预防病毒传播的措施,如限制措施、封锁、远程医疗和人工智能(AI),已导致常规临床实践、教育和研究发生重大且可能不可逆转的变化。这导致了在常规临床环境中管理患者的新模式的出现。本简要综述旨在概述眼科领域中COVID-19的各个方面,包括与该疾病相关的眼部表现、SARS-CoV-2感染的传播方式、眼科实践中为防止病毒传播采取的预防措施、用于治疗COVID-19的药物和疫苗、疫情对患者、临床医生和整个眼保健系统的影响,以及受此次全球疫情经历影响的眼科未来发展。

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