is corona virus transmitted through eyes

  • 8 min read
  • Feb 11, 2020

Coronavirus spreading: Expert reveals virus is being passed on ...
Coronavirus spreading: Expert reveals virus is being passed on …

March 18, 2020 – The American Academy of Ophthalmology has been released. According to the statement, all ophthalmologists should stop giving any treatment other than urgent or immediate care arise. These include office-based care and surgical treatment.

Updated March 18, 2020, 02:30 PT. The following sections have been added or updated in the past 24 hours: the latest statistics; Interim guidance for triage ophthalmology; Telehealth services; Elective surgical procedures; Tonometer cleaning tip

The Academy is particularly important ophthalmologic information-sharing related to the new coronavirus, called acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which was formerly known as 2019-nCoV. A highly contagious virus can cause severe respiratory disease known as COVID-19.

This page is mainly written by James Chodosh, MD, MPH, with the help of Gary N. Holland, MD, and Steven Yeh,. MD

191 127 cases [updated March 18, 2020; Source:]

7038 confirmed and suspected cases of positive [updated March 18, 2020; Source:]

On March 11, the outbreak COVID-19 is. Areas with extensive or sustained community transmission in progress is documented, including China, Iran, South Korea and most of Europe. 2 state with the highest number of cases, China and South Korea, have shown consecutive multi-day decline in new cases

Currently, three US states experiencing ongoing public dissemination. New York (2495), Washington (1014) and California (751) [updated March 17, 2020, the number of cases based on]. On March 13, President of the United States declared the outbreak COVID-19 a

SARS-CoV-2 are enveloped, single-stranded RNA virus that causes COVID-19. Although the virus appears not quite possible for the cause of death as the SARS coronavirus or Mers coronavirus, a large number of global deaths have occurred. There are reports all over the world many infections, including in the US

Patients usually present with respiratory disease, including fever, cough and shortness of breath .; conjunctivitis have also been reported. severe complications including pneumonia. Symptoms can appear immediately after 2 days or for 14 days after exposure. A finding that the average incubation period for SARS-CoV-2 is 5 to 7 days. More than 97% of those who develop symptoms do so within 11.5 days of exposure, the findings that further support current recommendations 14 days quarantine.

At this time, there is no vaccine to prevent infection, and no drugs known to be effective in the treatment. On March 5, Kaiser Permanente began to enroll for in the area of ​​Washington State.

Current understanding of how COVID-19 spread largely based on what is known about other similar coronavirus. The virus is believed to spread primarily through person-to-person through respiratory droplets produced when an infected person coughs or sneezes. It also can be spread when people touch an object or surface with this virus from an infected person and then touching their mouth, nose or eyes. RNA viruses have also been, increasing the possibility.

Currently, federal officials are trying to determine whether there is an asymptomatic transmission. An asymptomatic carrier case details that may be infected with 5 family members despite having normal findings chest computed tomography (CT). In addition, Li Wenliang, MD, it says he was infected by glaucoma patient without symptoms. These reports, however, is beginning.

In a study posted, scientists were able to detect a decent SAR-CoV-2 in aerosols up to 3 hours post-aerosolization. However, these experiments are conducted in which Goldberg drum has no ventilation, which may not always reflect how the virus will behave in real-life conditions. In addition, the study found the virus can survive up to 24 hours on cardboard, up to 4 hours on copper and up to 2 to 3 days in plastic and stainless steel. This study has not been peer-reviewed; Therefore, the results may change or additional information can be provided when the study was published. No changes in recommendations with regard to the use of masks on the basis of this research, but does not emphasize the importance of washing hands and cleaning surfaces and materials may be contaminated by respiratory secretions of an infected patient.

Two recent reports suggest that Virus can cause conjunctivitis. Thus, it is possible that SARS-CoV-2 is transmitted by aerosol contact with the conjunctiva.

While it appears conjunctivitis is a regular event as it relates to COVID-19 forms of conjunctivitis are common. affected patients often present to the eye clinic or emergency department. Increased by an eye doctor could possibly be the first provider to evaluate patients who may be infected COVID-19.

Therefore, protecting the mouth, nose (eg, N-95 mask) and eye (eg, goggles or shields) is recommended when treating patients potentially infected COVID-19. In addition, the slit-lamp breath shield (for example,) are helping to protect both healthcare workers and patients from respiratory disease.

The CDC urges health care providers who have patients meet these criteria to promptly notify both the infection control personnel in the health care facility or health department for further investigation of COVID-19.

CMS and HHS has allowed for expanded use of telehealth services for COVID-19, a public health crisis. According to CMS, this option applies to services whether or not the patient has symptoms COVID-19. There are three options for telehealth and other service-based communication technologies: phone services, internet-based consultations or telemedicine exam. For complete and updated information, visit the Academy.

1. Routine or urgent ophthalmology appointment, the patient does not have symptoms of respiratory illness, no fever, and no risk factors COVID-19

2. non-urgent problems in the eye drops patients with respiratory disease symptoms, but no fever or other risk factors for COVID-19

3. the urgent problems of eye drops in patients with respiratory disease symptoms, but no fever or risk factors COVID-19 others

4. Every patient is at high risk for COVID-19

5. patients with documented COVID-19 (or the person being investigated [Pui]) who were referred for evaluation and management of eye problems

* Standard (Universal) precautions: Minimum infection prevention precautions that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any health care setting (eg, hand hygiene, cough etiquette, the use of personal protective equipment, p embersihan and disinfection of environmental surfaces). See.

† Currently, there are national and international shortage of personal protective equipment (PPE), which also warrant consideration. Excessive use of PPE may deplete the supply of essential equipment needed in the future for patients with COVID-19 as the epidemic expands. PEE usage should be considered in the institutional and case-by-case basis; universal use for all patient encounters are not suitable

‡ Transmission Prevention :. The second tier of basic infection control, is used in addition to Standard Precautions when a patient has a disease that can be spread by contact, droplet or air service, which requires certain precautions based on circumstances of the case. transmission prevention measures required for cases of alleged COVID-19. See.

In response to a national emergency was declared at the federal level, primarily because COVID-19 advances in a particular community, ophthalmologists should seriously consider both the intensity of the scheduling of the clinic and the issue of elective surgery, particularly in elderly patients and those with medical comorbidities

, including recommendations for the cancellation or reduction of elective procedures in health care settings, for the community follows :. Santa Clara, California; New Rochelle, New York; Florida; Massachusetts; and Seattle, Washington.

Ophthalmology office should provide only urgent care, make-decompression attempt their waiting room and consider alternatives such as encouraging patients to wait at another location (for example, car or outer space). cell phone calls or other approaches may be used by office staff to tell patients when they have to go back to the office.

The American Academy of Ophthalmology supports the minimize, postpone or cancel elective surgery, while recognizing that the time may vary by community and disease indications. Moreover, the situation varies for hospitals, outpatient surgery department at the hospital, freestanding ASCs and office-based procedures. However, all ophthalmologists should be ready for adjust their surgical volume as local circumstances dictate. Even ASC-based outpatient procedure can expose other patients and health care workers to shed virus from patients without symptoms or even a doctor without symptoms. elective surgical procedures also deplete scarce personal protective equipment, including but not limited to masks and face shields.

Unless special circumstances specific to the patient or physician, the Academy recommends postpone all elective surgery until at least 6 April with the understanding that this recommendation can be extended depending on the condition of public health. These recommendations are consistent with those of the American College of Surgeons, the US Surgeon General and many other organizations. As mentioned above, the main purpose is to reduce the risk of transmission of the disease and to help conserve scarce resources. The definition of “elective” it is up to the ophthalmologist, but in general should be defined as something that can be postponed for 2 months without substantial risk for vision patients, public health function or material.

Rooms and instruments must be thoroughly disinfected after each patient encounter. Wear disposable gloves when cleaning and disinfection of surfaces. Slit lamp, including the control and, to be disinfected, especially wherever the patient put their hands and faces. Specific to COVID-19 include:

The virus that causes COVID-19 is the enveloped virus than adenovirus, the latter is much more resistant to alcohol. If the tip tonometer is cleaned with alcohol and allowed to dry in room air, a solution of 70% alcohol to be effective in disinfecting tonometer tips of SARS-CoV-2. However, alcohol will not effectively sterilize the tip of the adenovirus. Use disposable, Disposable tonometer tips if available. Tips cleaned.

WHO

CDC

If you have practical, clinical experience to share about COVID the 19th plague, email. The site editor will review and post items that will benefit the community.

James Chodosh, MD, MPH, is the David G. Cogan Professor of Ophthalmology at Harvard Medical School Department of Ophthalmology, member of the Harvard PhD program in virology and expert in cornea and external disease.

Gary N. Holland, MD, is the Jack H. Skirball Professor of Ocular Inflammatory Disease, director of Ocular Inflammatory Disease Center, and a member of the cornea / external disease and uveitis division at the Jules Stein Eye Institute, David Geffen School of Medicine at UCLA.

Steven Yeh, MD, M. Louise Simpson Associate Professor of Ophthalmology, member of uveitis and vitreoretinal surgery division at Emory Eye Center, and fellow faculty of Emory Global Health Institute.

Photo Credit: Content Providers (s): National Institute of Allergy and Infectious Diseases (NIAID) – Media is derived from ‘s (PHIL), with the identification number # 18109. < / p>

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