J Fr Ophtalmol. Ocular manifestation as first sign of Coronavirus Disease 2019 (COVID-19): Interest of telemedicine during the pandemic context

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J Fr Ophtalmol. 2020 Apr 17. pii: S0181-5512(20)30148-0. doi: 10.1016/j.jfo.2020.04.002. [Epub ahead of print]
Ocular manifestation as first sign of Coronavirus Disease 2019 (COVID-19): Interest of telemedicine during the pandemic context.


Daruich A¹, Martin D², Bremond-Gignac D³.

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Abstract

We report here the case of a 27-year-old man who consulted by telemedicine during the Coronavirus disease 2019 (COVID-19) pandemic, due to foreign body sensation and left eye redness. Examination revealed unilateral eyelid edema and moderate conjunctival hyperemia. A few hours later, the patient experienced intense headache and developed fever, cough and severe dyspnea. A nasopharyngeal swab proved positive for SARS-CoV-2. This case demonstrates that conjunctivitis can be the inaugural manifestation of the COVID-19 infection. It illustrates the interest of telemedicine in ophthalmology during the COVID-19 pandemic, since moderate conjunctival hyperemia can be the first sign of a severe respiratory distress.
Copyright ? 2020 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.



KEYWORDS:

COVID-19; Conjonctivite; Conjunctivitis; Eye; Manifestation oculaire; Ocular; Ophtalmologie; Ophthalmology; SARS-CoV-2; SRAS-CoV-2; Telemedicine; T?l?m?decine


PMID:32334847DOI:10.1016/j.jfo.2020.04.002