2020
DOI: 10.1111/cxo.13088
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The ocular surface, coronaviruses and COVID‐19

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Cited by 92 publications
(102 citation statements)
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References 73 publications
(100 reference statements)
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“…Within the field of ophthalmology, a few case reports [1,2] have suggested the presence of viral conjunctivitis before other COVID-19 symptoms which generated concern among eye care professionals (ECPs). A joint report by the College of Ophthalmologists and the College of Optometrists [3] stated that it was unlikely that a person would present with viral conjunctivitis without other COVID-19 symptoms and this has been confirmed in larger cohort studies [4]. In accordance with this, Sun et al [5] concluded that 'the eye is neither a preferred organ for human coronavirus infection nor a preferred gateway of entry that enables human coronavirus to infect the respiratory tract'.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Within the field of ophthalmology, a few case reports [1,2] have suggested the presence of viral conjunctivitis before other COVID-19 symptoms which generated concern among eye care professionals (ECPs). A joint report by the College of Ophthalmologists and the College of Optometrists [3] stated that it was unlikely that a person would present with viral conjunctivitis without other COVID-19 symptoms and this has been confirmed in larger cohort studies [4]. In accordance with this, Sun et al [5] concluded that 'the eye is neither a preferred organ for human coronavirus infection nor a preferred gateway of entry that enables human coronavirus to infect the respiratory tract'.…”
Section: Introductionmentioning
confidence: 99%
“…As a result, Jones et al [6] stated that there is currently no scientific evidence of an increased risk of COVID-19 for contact lens (CL) wearers compared to non-wearers. Similarly, Willcox et al [4] emphasised that during the pandemic wearers should be reminded of good hygiene practices.…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, Willcox et al discusses how viral entry is facilitated by initial binding to a viral receptor known as heparan sulfate on the ocular surface; however, they suggest that coronavirus cannot enter via this mechanism. This entry path can be further inhibited by the presence of lactoferrin in tears or decoy receptors, such as 9-O-acetylated sialic acid in tear glycoproteins, both of which can block coronavirus binding at receptor sites [3]. On the contrary, Zhou et al showed ACE2 expression on the ocular surface, predominantly on the superficial conjunctival and corneal epithelial surfaces [23].…”
Section: Pathophysiologymentioning
confidence: 99%
“…Angiotensin converting enzyme 2 (ACE2) serves as the receptor for the virus and is found in the eye, suggesting that the virus may be transmittable via tears [3]. The molecular mechanism of ACE2-driven infection and the time course of eye involvement, among children and adults, were the focus of this review with the intent that informed clinicians will not miss the diagnoses of COVID-19.…”
Section: Introductionmentioning
confidence: 99%
“…Willcox .M .et .al did a study coronavirus disease, and affected with the eye surface corneal, conjunctival. It showed as infection could lead to mild signs and symptoms of pneumonia, has so far only found rarely [63], [64]. Respiratory viruses are typically most symptomatic and most contagious.…”
Section: Environment To Humanmentioning
confidence: 99%