Letter to the editor: ocular surface injury following alcohol-based hand sanitizer use in Covid-19 prevention

Becker, Cristiano Urbano; Salomão, Gustavo; Serapião, Myrna; Manetta, Alexandre; Nascimento, Heloísa; Belfort, Rubens

doi:10.5935/0004-2749.202100105

Cited by 1 publication

(4 citation statements)

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“…Sonam et al22 mentioned 2 cases of toxic keratopathy in children aged under 5 years. One article reported alcohol-based-sanitizers–related ocular trauma in two 3-year-old girls 34. The cause of the injury was that the children stepped on the pedal to obtain the disinfectant, and the alcohol sprayed into their eyes.…”

Section: Resultsmentioning

confidence: 99%

“…Alcohol-based sanitizers were placed in many public places for hand disinfection. There was a significant increase in alcohol-based-sanitizer–related eye chemical injuries, many of which involved children 22,23,34,35. It is likely that most alcohol-based sanitizers were installed at the waist height of an adult in public, which approximated a child’s eye level and rendered children prone to ocular chemical injuries when these alcohol-based sanitizers were activated in close proximity to them.…”

Section: Discussionmentioning

confidence: 99%

“…There was a significant increase in alcohol-based-sanitizer-related eye chemical injuries, many of which involved children. 22,23,34,35 It is likely that most alcohol-based sanitizers were installed at the waist height of an adult in public, which approximated a child's eye level and rendered children prone to ocular chemical injuries when these alcohol-based sanitizers were activated in close proximity to them. To prevent ocular chemical injuries, guardians ought to maintain a high level of vigilance to prevent inadvertent ocular exposure of children to such devices.…”

Section: Discussionmentioning

confidence: 99%

“…One article reported alcohol-based-sanitizers-related ocular trauma in two 3-year-old girls. 34 The cause of the injury was that the children stepped on the pedal to obtain the disinfectant, and the alcohol sprayed into their eyes. Sunny et al 35 described a 32-year-old woman who accidentally made the portable disinfectant spray on her right eye.…”

Section: Ocular Trauma Related To Covid-19 Preventive Measuresmentioning

confidence: 99%

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Ocular Trauma During COVID-19 Pandemic: A Systematic Review and Meta-analysis

Liang

Zhang

Chen

et al. 2022

Asia-Pacific Journal of Ophthalmology

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Purpose: This study aimed to summarize the latest literature on the trends and incidence of ocular trauma during the COVID-19 pandemic. Design: Systematic review and meta-analysis. Methods: A systematic literature search was conducted to identify the relevant literature. The search period was between January 1, 2020, and September 20, 2021. The incidence of overall and various types of ocular trauma during the COVID-19 pandemic and the control period was analyzed. The data from different studies were pooled. The odds ratio (OR) and 95% confidence interval (CI) were calculated. Results: A total of 32 articles were included. After pooling the data from all included studies, the incidence of total and pediatric ocular trauma during the COVID-19 pandemic was 67.7% and 54.3% of those in the control period, respectively. However, the proportion of ocular trauma in eye emergency visits increased during the pandemic (OR, 95% CI: 1.46, 1.04–2.06). The proportion of domestic ocular trauma increased (OR, 95% CI: 3.42, 1.01–11.62), while ocular trauma related to sports and outdoor activities and occupational ocular trauma decreased (OR, 95% CI: 0.64, 0.09–4.29 and 0.18, 0.10–0.33, respectively). It was also reported that chemical injury caused by alcohol-based sanitizers, photokeratitis caused by ultraviolet lamps, and mechanical eye injury caused by masks increased during the COVID-19 pandemic. Conclusions: There was a reduction in overall eye injuries and substantial differences in the spectrum of ocular trauma during the COVID-19 pandemic. Proper health education and supervision should be strengthened to prevent ocular injuries related to COVID-19 preventive interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%