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眼科 COVID-19 管理。

Management of COVID-19 in Ophthalmology.

机构信息

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

Department of Ophthalmology, University Hospital of Udine, P.le S. Maria della Misericordia 15, 33100, Udine, Italy.

出版信息

Adv Exp Med Biol. 2024;1457:401-429. doi: 10.1007/978-3-031-61939-7_23.

Abstract

From its outbreak in early 2020, the new SARS-CoV-2 infection has deeply affected the entire eye care system for several reasons. Since the beginning of the COVID-19 pandemic, ophthalmologists were among the "high-risk category" for contracting the SARS-CoV-2 infection based on the notion that the eye was suspected to be a site of inoculation, infection, and transmission. Clinical ophthalmologists have been required to learn and promptly recognize the ocular manifestations associated with the COVID-19 disease, with its treatments and vaccinations. Restriction measures, lockdown periods, guidelines to prevent SARS-CoV-2 infection transmission, and the use of telemedicine and artificial intelligence modalities have induced profound modifications. These changes, which are most likely to be irreversible, influence routine clinical practice, education, and research, thus giving rise to a "new ophthalmology in the COVID era". This book chapter aims to provide several notions regarding COVID-19 in ophthalmology, including the SARS-CoV-2 virus infection and transmission modalities; the ocular manifestation associated with the COVID-19 disease; the drugs and vaccines used for COVID-19; the precautions adopted in the ophthalmic practice to limit the spread of the virus; the consequences of the pandemic on the ophthalmic patients, clinicians, and the entire eye care system; and, the future of ophthalmology in the era of "COVID new normal".

摘要

自 2020 年初爆发以来,新型 SARS-CoV-2 感染由于多种原因深刻影响了整个眼科保健系统。基于眼部被怀疑是接种、感染和传播部位的观点,眼科医生被认为是感染 SARS-CoV-2 的“高风险类别”之一。临床眼科医生必须学习并及时识别与 COVID-19 疾病相关的眼部表现及其治疗和疫苗接种。限制措施、封锁期、预防 SARS-CoV-2 感染传播的指南以及远程医疗和人工智能模式的使用,已经引发了深刻的变化。这些变化很可能是不可逆转的,影响了常规临床实践、教育和研究,从而产生了“COVID 时代的新眼科”。本章旨在提供一些关于眼科 COVID-19 的概念,包括 SARS-CoV-2 病毒感染和传播方式;与 COVID-19 疾病相关的眼部表现;用于 COVID-19 的药物和疫苗;为限制病毒传播在眼科实践中采取的预防措施;大流行对眼科患者、临床医生和整个眼科保健系统的影响;以及 COVID 新常态时代的眼科未来。

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