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J Infect Dev Ctries . Detection of SARS-CoV-2 in the tears and conjunctival secretions of Coronavirus disease 2019 patients

tetano

Editor, Senior Moderator
J Infect Dev Ctries


. 2020 Sep 30;14(9):977-981.
doi: 10.3855/jidc.13224.
Detection of SARS-CoV-2 in the tears and conjunctival secretions of Coronavirus disease 2019 patients


H?seyin Kaya[SUP] 1 [/SUP], Ahmet ?alışkan[SUP] 2 [/SUP], Mehmet Okul[SUP] 3 [/SUP], Tuğba Sarı[SUP] 4 [/SUP], İsmail Hakkı Akbudak[SUP] 5 [/SUP]



Affiliations

Abstract

Introduction: Current studies suggest that tears and conjunctival secretions may be an important transmission route in coronavirus disease 2019 (COVID-19). The study aims to evaluate the presence of severe acute respiratory syndrome Coronavirus-2 (SARS-CoV-2) virus in tears and conjunctival secretion of patients with COVID-19.
Methodology: A prospective interventional case series study was performed, and 32 patients with COVID-19 were selected at the Pamukkale University Hospital from 15 to 22 May 2020. The tear and conjunctival samples were collected by a conjunctival swab. Each specimen was sent to the laboratory for reverse transcription-polymerase chain reaction (RT-PCR) analyses. To avoid cross-infection, gloves and personal protective equipment were changed after collecting each sample.
Results: 32 patients (18 male, 14 female) with Covid-19 were included in this cross-sectional study. The average age of the patients was 52.81 ? 16.76 years. By the time of the first collection of conjunctival-tear samples, the mean time of the onset of complaints was 6.84 ? 6.81 (1-35) days. Tear-conjunctival samples from 5 patients (16%) without conjunctivitis yielded positive PCR results, 3 of whom had positive and 2 negative nasopharyngeal PCR results.
Conclusions: Five of 32 patients (16 %) without conjunctivitis or any eye symptoms had viral RNA in their tear-conjunctival samples. The possibility of transmission via tears and conjunctival secretions should be recognized even in the absence of conjunctivitis or other ocular manifestations.

Keywords: COVID-19; SARS-CoV-2; conjunctiva; tears.
 
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