新型冠状病毒肺炎的眼部表现

Ocular manifestations of coronavirus disease 2019(COVID-19)

新型冠状病毒肺炎(coronavirus disease 2019,COVID-19,新冠肺炎)是由新型冠状病毒(novel coronavirus,SARS-CoV-2,新冠病毒)引起的一种具有高度传染性的疾病,目前在世界各地广泛流行,并引起全球性恐慌。研究表明,新冠病毒可以通过眼部黏膜传播,因此眼科医务人员更容易受到感染。新冠肺炎患者眼部表现主要累及结膜、角膜、巩膜、前房、瞳孔、视网膜、视神经和视皮层、眼外肌及其颅神经支配、眼眶和泪器系统等。病毒性结膜炎是新冠肺炎患者最常见的眼部表现。新冠肺炎流行期间,为了眼科医务人员免受感染,安全地开展临床工作,本文依据近年来相关文献报道总结了新冠肺炎的眼部表现,主要包括流行病学、病理生理、临床表现等方面。

Coronavirus disease 2019(COVID-19)is caused by novel coronavirus(SARS-CoV-2),which is widely prevalent around the world and caused global panic.Evidences show that eye transmission is possible,so the ophthalmic medical staff is more likely to be infected.Ocular manifestations of COVID-19 involve conjunctiva,corneal,sclera,anterior chamber,pupils,retina,optic nerve and visual cortex,extraocular muscles and theirs cranial nerves innervation,orbit and lacrimal system.Viral conjunctivitis is the most common ocular manifestation of COVID-19.In order to protect ophthalmic medical staff from infection and to safely carry out clinical work during the epidemic period of COVID-19,this article summarizes the ocular manifestations of COVID-19,including epidemiology,pathophysiology and clinical manifestation.