Face Mask-Associated Ocular Irritation and Dryness

Abstract

During the current coronavirus disease 2019 (COVID-19) epidemic, the concern for reducing disease transmission has led to a worldwide increase in face mask utilization. During this period, we have observed a corresponding increase in ocular irritation and dryness among regular mask users. This finding has not been previously described in the literature but has important implications on eye health and infection prevention, as mask use is likely to continue for the foreseeable future.

COVID-19 ""MADE"" Problem - ""Mask-Associated Dry Eye"" - Easy Solutions

“…Now with the various phases of unlock coming into play, we observe an increase of such symptoms even among patients seen by other eye care specialists and the general population; especially as we move back to work with our face masks on; among other COVID appropriate behavior; as a part of our SMS campaigns. Such findings have been observed and described previously by Moshirfar et al [1] It is not novel to have an awareness of air blowing upward from the mask into our eyes while wearing masks. Indeed, being mindful of this airflow; made us change our examination protocols, especially during retinal examination using an indirect ophthalmoscope and a 20-D lens.…”

“…While using such a tape, one must be aware of the tape at times inadvertently; adhering to the skin of the upper cheek; in such a way so as to interfere with lower eyelid excursion during a normal blink, and the possibility of inducing mechanical ectropion with secondary lagophthalmos in some individuals, especially those with lower lid laxity. [1] With COVID-19 and accompanying face mask use likely projecting well into the foreseeable future; eye dryness, irritation from mask wear may become a problem for a large percentage of the population. This would be extremely pertinent in patients with ocular surface inflammations like dry eye disease or keratoconjunctivitis sicca.…”

Optical coherence tomography angiography analysis of the retina in patients recovered from COVID-19: a case-control study

“…The quality of the scan can be a factor affecting the vessel density analysis. 21,22 While the ocular media was clear in all patients tested, ocular surface irregularities can degrade the quality scan index and dry eye has been associated with COVID infection, 23,24 although none of the patients in this study complained of this problem. Given the overall high quality score greater than 7 in the COVID cases and the margin of difference versus the controls of less than 1, the significant differences in VD between these 2 groups are likely due to pathoanatomical factors.…”

Prolonged Use of n95 Mask a Boon or Bane to Healthcare Workers During Covid–19 Pandemic

“…For Eye dryness frequent use of eye lubricant to be done to prevent any further ulceration and in case of nasal dryness and to prevent epistaxis topical saline drops or gels to be used [ 9 , 10 ].…”