Is orbital wall fracture associated with SARS-CoV-2 ocular surface contamination in asymptomatic COVID-19 patients?
Objectives To assess the relationship between orbital wall fractures connecting to paranasal sinuses (OWF-PNS) and SARS-CoV-2 ocular surface contamination (SARS-CoV-2-OSC) in asymptomatic COVID-19 patients. Methods This was a prospective case–control study enrolling two asymptomatic COVID-19 patien...
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| Veröffentlicht in: | International ophthalmology 2023-04, Vol.43 (4), p.1369-1374 |
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| creator | Pitak-Arnnop, Poramate Tangmanee, Chatpong Meningaud, Jean-Paul Neff, Andreas |
| description | Objectives
To assess the relationship between orbital wall fractures connecting to paranasal sinuses (OWF-PNS) and SARS-CoV-2 ocular surface contamination (SARS-CoV-2-OSC) in asymptomatic COVID-19 patients.
Methods
This was a prospective case–control study enrolling two asymptomatic COVID-19 patient cohorts with
vs.
without OWF-PNS in the case–control ratio of 1:4. All subjects were treated in a German level 1 trauma center during a one-year interval. The main predictor variable was the presence of OWF-PNS (case/control); cases with preoperative conjunctival positivity of SARS-CoV-2 were excluded to rule out the possibility of viral dissemination via the lacrimal gland and/or the nasolacrimal system. The main outcome variable was laboratory-confirmed SARS-CoV-2-OSC (yes/no). Descriptive and bivariate statistics were computed with a statistically significant
P
≤ 0.05.
Results
The samples comprised 11 cases and 44 controls (overall: 27.3% females; mean age, 52.7 ± 20.3 years [range, 19–85]). There was a significant association between OWF-PNS and SARS-CoV-2-OSC (
P
= 0.0001; odds ratio = 20.8; 95% confidence interval = 4.11–105.2;
R
-squared = 0.38; accuracy = 85.5%), regardless of orbital fracture location (orbital floor
vs.
medial wall versus both;
P
= 1.0).
Conclusions
Asymptomatic COVID-19 patients with OWF-PNS are associated with a considerable and almost 21-fold increase in the risk of SARS-CoV-2-OSC, in comparison with those without facial fracture. This could suggest that OWF-PNS is the viral source, requiring particular attention during manipulation of ocular/orbital tissue to prevent viral transmission. |
| doi_str_mv | 10.1007/s10792-022-02535-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9510495</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2717684171</sourcerecordid><originalsourceid>FETCH-LOGICAL-c425t-72b506cea60b881bfcebd932a435bcf6b2e097120096ee10d44d33582c927b7a3</originalsourceid><addsrcrecordid>eNp9kU1vFSEUhomxsR_6B1wYEjdusHwMMGw0zbXqTZo0sdotAYZpaWbgCoxN_720t7bVhQvCx3nOe3jzAvCa4PcEY3lYCJaKIkxvF2cc9c_AHuGSISoYfv7kvAv2S7nCGCupxAuwywThlEi6B8q6wJRtqGaC12aa4JiNq0v20JSSXDDVD_A61Et4dvTtDK3SOaIwuWUyGZYlj8Z56FKsZg7R1JAiDLG13sybmub24ODq9Hz9CREFN-3qYy0fX4Kd0UzFv7rfD8CPz8ffV1_RyemX9eroBLmO8ooktRwL543Atu-JHZ23g2LUdIxbNwpLffNDaHMlvCd46LqBMd5Tp6i00rAD8GGru1ns7AfXhmcz6U0Os8k3Opmg_67EcKkv0i-tOMGd4k3g3b1ATj8XX6qeQ3F-mkz0aSmaSiJF3xFJGvr2H_QqLTk2e5r2mAquZCcbRbeUy6mU7MeHzxCsbzPV20x1y1TfZar71vTmqY2Hlj8hNoBtgdJK8cLnx9n_kf0NxSytGg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2802659747</pqid></control><display><type>article</type><title>Is orbital wall fracture associated with SARS-CoV-2 ocular surface contamination in asymptomatic COVID-19 patients?</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Pitak-Arnnop, Poramate ; Tangmanee, Chatpong ; Meningaud, Jean-Paul ; Neff, Andreas</creator><creatorcontrib>Pitak-Arnnop, Poramate ; Tangmanee, Chatpong ; Meningaud, Jean-Paul ; Neff, Andreas</creatorcontrib><description>Objectives
To assess the relationship between orbital wall fractures connecting to paranasal sinuses (OWF-PNS) and SARS-CoV-2 ocular surface contamination (SARS-CoV-2-OSC) in asymptomatic COVID-19 patients.
Methods
This was a prospective case–control study enrolling two asymptomatic COVID-19 patient cohorts with
vs.
without OWF-PNS in the case–control ratio of 1:4. All subjects were treated in a German level 1 trauma center during a one-year interval. The main predictor variable was the presence of OWF-PNS (case/control); cases with preoperative conjunctival positivity of SARS-CoV-2 were excluded to rule out the possibility of viral dissemination via the lacrimal gland and/or the nasolacrimal system. The main outcome variable was laboratory-confirmed SARS-CoV-2-OSC (yes/no). Descriptive and bivariate statistics were computed with a statistically significant
P
≤ 0.05.
Results
The samples comprised 11 cases and 44 controls (overall: 27.3% females; mean age, 52.7 ± 20.3 years [range, 19–85]). There was a significant association between OWF-PNS and SARS-CoV-2-OSC (
P
= 0.0001; odds ratio = 20.8; 95% confidence interval = 4.11–105.2;
R
-squared = 0.38; accuracy = 85.5%), regardless of orbital fracture location (orbital floor
vs.
medial wall versus both;
P
= 1.0).
Conclusions
Asymptomatic COVID-19 patients with OWF-PNS are associated with a considerable and almost 21-fold increase in the risk of SARS-CoV-2-OSC, in comparison with those without facial fracture. This could suggest that OWF-PNS is the viral source, requiring particular attention during manipulation of ocular/orbital tissue to prevent viral transmission.</description><identifier>ISSN: 1573-2630</identifier><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-022-02535-8</identifier><identifier>PMID: 36152172</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Asymptomatic ; Bivariate analysis ; Carrier State ; Case-Control Studies ; Confidence intervals ; Contamination ; Coronaviruses ; COVID-19 ; Disease transmission ; Female ; Fractures ; Humans ; Lacrimal Apparatus - virology ; Lacrimal gland and Nasolacrimal duct ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nasolacrimal Duct - virology ; Ophthalmology ; Orbital Fractures - complications ; Orbital Fractures - diagnosis ; Original Paper ; Paranasal sinus ; Paranasal Sinuses ; Prospective Studies ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Sinuses ; Statistical analysis</subject><ispartof>International ophthalmology, 2023-04, Vol.43 (4), p.1369-1374</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c425t-72b506cea60b881bfcebd932a435bcf6b2e097120096ee10d44d33582c927b7a3</cites><orcidid>0000-0001-6805-2921 ; 0000-0001-9227-9026 ; 0000-0001-5865-0020 ; 0000-0002-7427-3461</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-022-02535-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-022-02535-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36152172$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pitak-Arnnop, Poramate</creatorcontrib><creatorcontrib>Tangmanee, Chatpong</creatorcontrib><creatorcontrib>Meningaud, Jean-Paul</creatorcontrib><creatorcontrib>Neff, Andreas</creatorcontrib><title>Is orbital wall fracture associated with SARS-CoV-2 ocular surface contamination in asymptomatic COVID-19 patients?</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Objectives
To assess the relationship between orbital wall fractures connecting to paranasal sinuses (OWF-PNS) and SARS-CoV-2 ocular surface contamination (SARS-CoV-2-OSC) in asymptomatic COVID-19 patients.
Methods
This was a prospective case–control study enrolling two asymptomatic COVID-19 patient cohorts with
vs.
without OWF-PNS in the case–control ratio of 1:4. All subjects were treated in a German level 1 trauma center during a one-year interval. The main predictor variable was the presence of OWF-PNS (case/control); cases with preoperative conjunctival positivity of SARS-CoV-2 were excluded to rule out the possibility of viral dissemination via the lacrimal gland and/or the nasolacrimal system. The main outcome variable was laboratory-confirmed SARS-CoV-2-OSC (yes/no). Descriptive and bivariate statistics were computed with a statistically significant
P
≤ 0.05.
Results
The samples comprised 11 cases and 44 controls (overall: 27.3% females; mean age, 52.7 ± 20.3 years [range, 19–85]). There was a significant association between OWF-PNS and SARS-CoV-2-OSC (
P
= 0.0001; odds ratio = 20.8; 95% confidence interval = 4.11–105.2;
R
-squared = 0.38; accuracy = 85.5%), regardless of orbital fracture location (orbital floor
vs.
medial wall versus both;
P
= 1.0).
Conclusions
Asymptomatic COVID-19 patients with OWF-PNS are associated with a considerable and almost 21-fold increase in the risk of SARS-CoV-2-OSC, in comparison with those without facial fracture. This could suggest that OWF-PNS is the viral source, requiring particular attention during manipulation of ocular/orbital tissue to prevent viral transmission.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Asymptomatic</subject><subject>Bivariate analysis</subject><subject>Carrier State</subject><subject>Case-Control Studies</subject><subject>Confidence intervals</subject><subject>Contamination</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Disease transmission</subject><subject>Female</subject><subject>Fractures</subject><subject>Humans</subject><subject>Lacrimal Apparatus - virology</subject><subject>Lacrimal gland and Nasolacrimal duct</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nasolacrimal Duct - virology</subject><subject>Ophthalmology</subject><subject>Orbital Fractures - complications</subject><subject>Orbital Fractures - diagnosis</subject><subject>Original Paper</subject><subject>Paranasal sinus</subject><subject>Paranasal Sinuses</subject><subject>Prospective Studies</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Sinuses</subject><subject>Statistical analysis</subject><issn>1573-2630</issn><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1vFSEUhomxsR_6B1wYEjdusHwMMGw0zbXqTZo0sdotAYZpaWbgCoxN_720t7bVhQvCx3nOe3jzAvCa4PcEY3lYCJaKIkxvF2cc9c_AHuGSISoYfv7kvAv2S7nCGCupxAuwywThlEi6B8q6wJRtqGaC12aa4JiNq0v20JSSXDDVD_A61Et4dvTtDK3SOaIwuWUyGZYlj8Z56FKsZg7R1JAiDLG13sybmub24ODq9Hz9CREFN-3qYy0fX4Kd0UzFv7rfD8CPz8ffV1_RyemX9eroBLmO8ooktRwL543Atu-JHZ23g2LUdIxbNwpLffNDaHMlvCd46LqBMd5Tp6i00rAD8GGru1ns7AfXhmcz6U0Os8k3Opmg_67EcKkv0i-tOMGd4k3g3b1ATj8XX6qeQ3F-mkz0aSmaSiJF3xFJGvr2H_QqLTk2e5r2mAquZCcbRbeUy6mU7MeHzxCsbzPV20x1y1TfZar71vTmqY2Hlj8hNoBtgdJK8cLnx9n_kf0NxSytGg</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Pitak-Arnnop, Poramate</creator><creator>Tangmanee, Chatpong</creator><creator>Meningaud, Jean-Paul</creator><creator>Neff, Andreas</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6805-2921</orcidid><orcidid>https://orcid.org/0000-0001-9227-9026</orcidid><orcidid>https://orcid.org/0000-0001-5865-0020</orcidid><orcidid>https://orcid.org/0000-0002-7427-3461</orcidid></search><sort><creationdate>20230401</creationdate><title>Is orbital wall fracture associated with SARS-CoV-2 ocular surface contamination in asymptomatic COVID-19 patients?</title><author>Pitak-Arnnop, Poramate ; Tangmanee, Chatpong ; Meningaud, Jean-Paul ; Neff, Andreas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-72b506cea60b881bfcebd932a435bcf6b2e097120096ee10d44d33582c927b7a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Asymptomatic</topic><topic>Bivariate analysis</topic><topic>Carrier State</topic><topic>Case-Control Studies</topic><topic>Confidence intervals</topic><topic>Contamination</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Disease transmission</topic><topic>Female</topic><topic>Fractures</topic><topic>Humans</topic><topic>Lacrimal Apparatus - virology</topic><topic>Lacrimal gland and Nasolacrimal duct</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nasolacrimal Duct - virology</topic><topic>Ophthalmology</topic><topic>Orbital Fractures - complications</topic><topic>Orbital Fractures - diagnosis</topic><topic>Original Paper</topic><topic>Paranasal sinus</topic><topic>Paranasal Sinuses</topic><topic>Prospective Studies</topic><topic>SARS-CoV-2</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Sinuses</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pitak-Arnnop, Poramate</creatorcontrib><creatorcontrib>Tangmanee, Chatpong</creatorcontrib><creatorcontrib>Meningaud, Jean-Paul</creatorcontrib><creatorcontrib>Neff, Andreas</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pitak-Arnnop, Poramate</au><au>Tangmanee, Chatpong</au><au>Meningaud, Jean-Paul</au><au>Neff, Andreas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is orbital wall fracture associated with SARS-CoV-2 ocular surface contamination in asymptomatic COVID-19 patients?</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>43</volume><issue>4</issue><spage>1369</spage><epage>1374</epage><pages>1369-1374</pages><issn>1573-2630</issn><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Objectives
To assess the relationship between orbital wall fractures connecting to paranasal sinuses (OWF-PNS) and SARS-CoV-2 ocular surface contamination (SARS-CoV-2-OSC) in asymptomatic COVID-19 patients.
Methods
This was a prospective case–control study enrolling two asymptomatic COVID-19 patient cohorts with
vs.
without OWF-PNS in the case–control ratio of 1:4. All subjects were treated in a German level 1 trauma center during a one-year interval. The main predictor variable was the presence of OWF-PNS (case/control); cases with preoperative conjunctival positivity of SARS-CoV-2 were excluded to rule out the possibility of viral dissemination via the lacrimal gland and/or the nasolacrimal system. The main outcome variable was laboratory-confirmed SARS-CoV-2-OSC (yes/no). Descriptive and bivariate statistics were computed with a statistically significant
P
≤ 0.05.
Results
The samples comprised 11 cases and 44 controls (overall: 27.3% females; mean age, 52.7 ± 20.3 years [range, 19–85]). There was a significant association between OWF-PNS and SARS-CoV-2-OSC (
P
= 0.0001; odds ratio = 20.8; 95% confidence interval = 4.11–105.2;
R
-squared = 0.38; accuracy = 85.5%), regardless of orbital fracture location (orbital floor
vs.
medial wall versus both;
P
= 1.0).
Conclusions
Asymptomatic COVID-19 patients with OWF-PNS are associated with a considerable and almost 21-fold increase in the risk of SARS-CoV-2-OSC, in comparison with those without facial fracture. This could suggest that OWF-PNS is the viral source, requiring particular attention during manipulation of ocular/orbital tissue to prevent viral transmission.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>36152172</pmid><doi>10.1007/s10792-022-02535-8</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6805-2921</orcidid><orcidid>https://orcid.org/0000-0001-9227-9026</orcidid><orcidid>https://orcid.org/0000-0001-5865-0020</orcidid><orcidid>https://orcid.org/0000-0002-7427-3461</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1573-2630 |
| ispartof | International ophthalmology, 2023-04, Vol.43 (4), p.1369-1374 |
| issn | 1573-2630 0165-5701 1573-2630 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Aged, 80 and over Asymptomatic Bivariate analysis Carrier State Case-Control Studies Confidence intervals Contamination Coronaviruses COVID-19 Disease transmission Female Fractures Humans Lacrimal Apparatus - virology Lacrimal gland and Nasolacrimal duct Male Medicine Medicine & Public Health Middle Aged Nasolacrimal Duct - virology Ophthalmology Orbital Fractures - complications Orbital Fractures - diagnosis Original Paper Paranasal sinus Paranasal Sinuses Prospective Studies SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Sinuses Statistical analysis |
| title | Is orbital wall fracture associated with SARS-CoV-2 ocular surface contamination in asymptomatic COVID-19 patients? |
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