4.6 Article

Ocular transmissibility of COVID-19: possibilities and perspectives

Journal

MOLECULAR AND CELLULAR BIOCHEMISTRY
Volume 477, Issue 3, Pages 849-864

Publisher

SPRINGER
DOI: 10.1007/s11010-021-04336-6

Keywords

ACE2; COVID-19; Eye; Nasolacrimal; Ocular infection

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Funding

  1. NIH-NHLBI [R01HL147662, R01HL144125]

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This article is an important review that explores the possibility of COVID-19 transmission through the eyes, and provides new insights into the possible immunological mechanisms leading to cytokine surge.
Since the initial outbreak of coronavirus disease 2019 (COVID-19), extensive research has emerged from across the globe to understand the pathophysiology of this novel coronavirus. Transmission of this virus is a subject of particular interest as researchers work to understand which protective and preventative measures are most effective. Despite the well understood model of aerosol-respiratory mediated transmission, the exact mechanism underlying the inoculation, infection and spread of COVID-19 is currently unknown. Given anatomical positioning and near constant exposure to aerosolized pathogens, the eye may be a possible gateway for COVID-19 infection. This critical review explores the possibility of an ocular-systemic or ocular-nasal-pulmonic pathway of COVID-19 infection and includes novel insights into the possible immunological mechanisms leading to cytokine surge.

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