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TABLE 1 - MUCORMYCOSIS INFECTIONS AND TOXICOLOGICAL IMPACT ON OCULAR SURFACE
                            AREA AND CORNEAL MANIFESTATION OF COVID-19 PANDEMIC


           Location Sample           Age mean/      Diagnosis      Type              Durations       Study
                     Ocular          median and                                      between
                     Surface Area    years                                           COVID-19
                     and Corneal                                                     symptoms/
                     Manifestation                                                   diagnosis with
                                                                                     ophthalmic
                                                                                     symptoms
           India     11/127          38.8 median    Conjunctival   Retrospective     Mean 9.4 in     Sindhuja
                                                    congestion,    cross-sectional   one             et al
                                                    lid edema,
                                                    hyperaemia

           India     1               65             Folicular      Case              32              Nayak
                                                    Conjuctivitis                                    et al

           India     2               38 (mean)      Conjuctivitis  Case              Initial         Goel et al



          who are on immunosuppressive drugs for                government of India is requested to
          cancer treatment, organ transplantation, or           allocate sufficient funding to achieve the
          other such conditions, are other groups that          desired goals
          are vulnerable to a severe fungal ophthalmic          REFERENCES:
          disease. 3
                                                                1.  Sindhuja K, Lomi N, Asif MI, Tandon R. Clinical
             The triad of severe acute respiratory                 profile and prevalence of conjunctivitis in mild
          syndrome Coronavirus-2 (SARS-CoV-2),                     COVID-19 patients in a tertiary care COVID-19
          corticosteroid use, and uncontrolled diabetes            hospital: A retrospective cross-sectional
          have been evident for significant increase in            study. Indian Journal of Ophthalmology. 2020
          the incidence of angio-invasive maxillofacial            Aug;68(8):1546.
          mucormycosis.                                         2.  Beigel JH, Tomashek KM, Dodd LE, Mehta
                                                                   AK, Zingman BS, Kalil AC, Hohmann E, Chu
             Additionally, there is an increased presence of       HY, Luetkemeyer A, Kline S, Lopez de Castilla
          fungal spores on the surface of the damp walls           D. Remdesivir for the treatment of Covid-19.
          of houses and in the air that humans breathe             New England Journal of Medicine. 2020 Nov
          and this is likely to further complicate the             5;383(19):1813-26.
          situation in the coming weeks. Probable, surge        3.  Tejwani S, Angmo D, Nayak BK, Sharma
          of the third wave of Covid-19 in India is likely         N, Sachdev MS, Dada T, Sinha R. Preferred
          to affect more badly children below 18 years of          practice guidelines for glaucoma management
          age, and lactating mothers’ population who,              during COVID-19 pandemic. Indian Journal of
          unfortunately, have yet to receive vaccination.          Ophthalmology. 2020 Jul;68(7):1277.
             In conclusion, the present pandemic                4.  Arora R, Goel R, Kumar S, Chhabra M, Saxena
          situation warrants the development of                    S, Manchanda V, Pumma P. Evaluation of
                                                                   SARS-CoV-2 in tears of patients with moderate
          management protocols and to draft appropriate            to severe COVID-19. Ophthalmology. 2021 Apr
          guidelines for the proper control of eye diseases        1;128(4):494-503.
          like conjunctivitis,  endophthalmitis, orbital        5.  Sheth JU, Narayanan R, Goyal J, Goyal V.
                            4
          cellulitis, retinal vein occlusion,  etc. (see Table     Retinal vein occlusion in COVID-19: A novel
                                         4-5
          1). The need of the hour is to develop a risk-           entity. Indian Journal of Ophthalmology. 2020
          based approach (RBA) for patients and the                Oct;68(10):2291.


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