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Article ; Online: Identification of SARS-CoV-2 on the ocular surface in a cohort of COVID-19 patients from Brazil.

Gasparini, Matheus S / Dos Santos, Leandro M / Hamade, Ahmad Ma / Gross, Luísa G / Favarato, Arthur P / de Vasconcellos, José Pc / de Melo, Mônica B / Parise, Pierina L / Simeoni, Camila L / Silva, Natália B / da Silva Mori, Marcelo A / Vieira, André S / Dos Santos Farias, Alessandro / Granja, Fabiana / Schreiber, Angelica Z / Moretti, Maria L / Proença-Modena, José L / Alves, Mônica

Experimental biology and medicine (Maywood, N.J.)

2021  Volume 246, Issue 23, Page(s) 2495–2501

Abstract: ... Coronavirus 2 Ribonucleic Acid (SARS-CoV-2 RNA) in the tears of hospitalized COVID-19 patients. After ... 2 detected in tears than in patients without virus in ocular surface samples. One patient with SARS ... manifestations were evaluated. Of the 83 patients enrolled in the study, 7 (8.43%) had SARS-CoV-2 RNA detected ...

Abstract In this cross-sectional study, we investigate the presence of Severe Acute Respiratory Syndrome Coronavirus 2 Ribonucleic Acid (SARS-CoV-2 RNA) in the tears of hospitalized COVID-19 patients. After laboratory confirmation of SARS-CoV-2 infection by reverse transcription polymerase chain reaction (RT-PCR) analysis, tear samples from both eyes of each patient were collected using conjunctival swab for RT-PCR. Detailed demographic profile, systemic and ocular symptoms, comorbidities, clinical, ancillary, and ocular manifestations were evaluated. Of the 83 patients enrolled in the study, 7 (8.43%) had SARS-CoV-2 RNA detected in the tear samples. Neutrophils' count, C-reactive protein, and D-dimer were higher in patients with SARS-CoV-2 detected in tears than in patients without virus in ocular surface samples. One patient with SARS-CoV-2 in tears showed mild ocular eyelid edema, hyperemia, and chemosis. No relevant ocular manifestations were detected in the other patients. Although the levels of viral RNA on ocular surface samples were low for most patients (5/7), with positivity only for gene
MeSH term(s) Adult ; Aged ; Brazil ; COVID-19/complications ; COVID-19/pathology ; COVID-19/virology ; COVID-19 Nucleic Acid Testing/statistics & numerical data ; Eye/virology ; Eye Infections, Viral/epidemiology ; Eye Infections, Viral/pathology ; Eye Infections, Viral/virology ; Female ; Humans ; Male ; Middle Aged ; SARS-CoV-2/genetics ; SARS-CoV-2/pathogenicity ; Tears/virology ; Viral Load
Language English
Publishing date 2021-07-19
Publishing country England
Document type Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 4015-0
ISSN 1535-3699 ; 1525-1373 ; 0037-9727
ISSN (online) 1535-3699 ; 1525-1373
ISSN 0037-9727
DOI 10.1177/15353702211024651
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