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10.1016/j.jtos.2020.11.002

http://scihub22266oqcxt.onion/10.1016/j.jtos.2020.11.002
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33176215!7649030!33176215
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suck abstract from ncbi


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pmid33176215      Ocul+Surf 2021 ; 19 (ä): 322-329
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  • Prevalence of SARS-CoV-2 in human post-mortem ocular tissues #MMPMID33176215
  • Sawant OB; Singh S; Wright RE 3rd; Jones KM; Titus MS; Dennis E; Hicks E; Majmudar PA; Kumar A; Mian SI
  • Ocul Surf 2021[Jan]; 19 (ä): 322-329 PMID33176215show ga
  • BACKGROUND: SARS-CoV-2 is found in conjunctival swabs and tears of COVID-19 patients. However, the presence of SARS-CoV-2 has not been detected in the human eye to date. We undertook this study to analyze the prevalence of SARS-CoV-2 in human post-mortem ocular tissues. METHODS: The expression of SARS-CoV-2 RNA was assessed by RT-PCR in corneal and scleral tissues from 33 surgical-intended donors who were eliminated from a surgical use per Eye Bank Association of America (EBAA) donor screening guidelines or medical director review or positive COVID-19 test. Ocular levels of SARS-CoV-2 RNA (RT-PCR), Envelope and Spike proteins (immunohistochemistry) and anti-SARS-CoV-2 IgG and IgM antibodies (ELISA) in blood were evaluated in additional 10 research-intent COVID-19 positive donors. FINDINGS: Of 132 ocular tissues from 33 surgical-intended donors, the positivity rate for SARS-CoV-2 RNA was ~13% (17/132). Of 10 COVID-19 donors, six had PCR positive post-mortem nasopharyngeal swabs whereas eight exhibited positive post-mortem anti-SARS-CoV-2 IgG levels. Among 20 eyes recovered from 10 COVID-19 donors: three conjunctival, one anterior corneal, five posterior corneal, and three vitreous swabs tested positive for SARS-CoV-2 RNA. SARS-CoV-2 spike and envelope proteins were detected in epithelial layer of the corneas that were procured without Povidone-Iodine (PVP-I) disinfection. INTERPRETATIONS: Our study showed a small but noteworthy prevalence of SARS-CoV-2 in ocular tissues from COVID-19 donors. These findings underscore the criticality of donor screening guidelines, post-mortem nasopharyngeal PCR testing and PVP-I disinfection protocol to eliminate any tissue harboring SARS-CoV-2 being used for corneal transplantation.
  • |*Autopsy[MESH]
  • |*COVID-19[MESH]
  • |Aged[MESH]
  • |Conjunctiva/*virology[MESH]
  • |Cornea/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prevalence[MESH]
  • |RNA, Viral/*isolation & purification[MESH]
  • |SARS-CoV-2/*isolation & purification[MESH]


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