does covid affect eyes blurry vision

Larsen JR, et al. If discovered early enough, helpful methods include: Leber hereditary optic neuropathy typically begins when young adults experience blurriness or the loss of central vision in one eye, followed months or years later by vision loss in the other eye. Hair cells, which are important for both hearing and balance, can also be infected by the virus, the researchers reported in Nature in October. Symptoms, causes, and treatment. That breakdown can lead to corneal infection, damage and ultimately blindness. And some eye issues are not visible. Some people have reported experiencing blurred vision while ill with the disease, but it appears that these impacts on their vision have actually had lasting effects beyond recovery. The authors of the JAMA Ophthalmology study suggested a similar interpretation, theorizing that the initial vascular damage caused by Covid-19 infection might make some people more vulnerable to a pre-existing risk of retinal vascular occlusions. From what is currently known, COVID-19 does not appear to cause blurry vision at least not directly. Also, if other symptoms accompany it, it could be a sign of an underlying condition. While COVID-19 hasnt quite been shown to cause blurry vision directly, it may lead to some blurred vision as the result of another COVID symptom, like pink eye or fatigue. Pfizer Says Bivalent COVID-19 Booster Significantly Increases Antibodies to Fight Omicron. The disease deprives your whole body of oxygen, including your brain. NHS Your blurry vision is likely not related to COVID-19. The data are growing to suggest that there are more neural consequences of this infection than we originally thought, says Lee Gehrke, a molecular biologist at the Massachusetts Institute of Technology. COVID conjunctivitis. Eye symptoms can show up early or late in the illness, adds Shahzad Mian, an ophthalmologist at the University of Michigan. You might develop a painless loss of vision, decreased peripheral vision, or reduced color vision. Takeaway. Viral conjunctivitis can make the eyes water and feel gritty and uncomfortable, rather than painful. Also of note, an August 2020 study found that a history of macular degeneration was associated with an increased risk of severe illness from COVID-19. Eye pain. While COVID-19 conjunctivitis is the most common eye problem the COVID-19 virus causes, other conditions people develop include: Chronic dry eye: COVID-19 can cause dry eye. Thanks for reading Scientific American. Contact Us GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. However, one effect of long COVID which doesnt feature on the above list is vision deterioration. American Heart Association. Blurred vision is a disturbance in a persons eyesight that makes it difficult to see. MedicineNet does not provide medical advice, diagnosis or treatment. From the beginning of the pandemic, reports included red eyes as a common symptom. These spots do not typically affect a person's vision. Other symptoms of pink eye can include: This can occur in all or part of one eye. However, there are a number of case reports of blindness and other ocular side effects (eye problems) that are being researched to better understand if there is a causal link or not. Red eyes, ringing ears, sensitivity to light, trouble hearing: although a loss of taste and smell have become well-known sensory symptoms of COVID, accumulating research suggests that vision and hearing are also frequent targets of SARS-COV-2, the virus that causes the disease. Symptoms to watch out for include: If you or someone else is experiencing any of the symptoms listed above, go to the emergency room or call 911. In addition to blurry vision in one eye, other symptoms of optic neuritis may include: The symptoms can vary significantly, depending on the extent of the inflammation of the optic nerve. When the following symptoms accompany the abnormal pupil size and blurred vision in one eye, it is known as Adie's syndrome: While there's no cure for the condition, it can be treated using: Optic neuritis is optic nerve inflammation and typically only affects one eye. However, the condition will often go away on its own without treatment. That was not surprising to scientists. Migraine with aura. You might notice these symptoms in one or both eyes. (2020). Hypertensive Retinopathy vs. Diabetic Retinopathy: What Are the Differences? Does high blood pressure cause blurry vision? People with uveitis experience eye redness, sensitivity to light, and eye pain. Other research of patients across mainland China shows only 0.8% of patients had conjunctival congestion. Covid-19 has also been associated with a range of vascular issues such as inflammation of the heart muscle or the sac containing the heart. Many conditions can result in blurry vision in either one or both eyes. It can be alarming to experience blurry vision, whether it's gradual or sudden. "We know COVID-19 deprives the entire body of oxygen, including the brain, and this is what can cause eye and vision complications." -Amber Dunn, O.D. Light sensitivity. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. Blood clots in the arteries of the retina can block the flow of oxygen, causing cells to die. You can unsubscribe at any time. Multiple case reports include ear-related symptoms that stick around even after people recover from the illness, Jafari says. A May 2020 case series detailed eye symptoms in 12 people hospitalized with COVID-19. Does this imply that treatments for the disease in the ICU are the cause of deteriorating vision, rather than COVID-19 itself? The optic nerve sends messages from your eyes to your brain so that you can interpret visual images. Covid-19 infection is linked to eye conditions called retinal vascular occlusionsblockages of blood vessels in the eye that can cause vision lossaccording to a study published Thursday by JAMA Ophthalmology that threw light on one of several little-understood long-term effects of the virus. Stay informed and get prescription saving tips and more from GoodRx Health. How older drivers can improve their driving at night, The controversial use of ivermectin as a COVID-19 treatment, Dr. Li died of complications from the disease, Hydroxychloroquine, as coronavirus treatment, may be bad for your eyes, How unproven COVID treatment ivermectin can affect your vision, Coronavirus Vaccine May Exist in Eye Disease Gene Therapy. One of the symptoms of conjunctivitis is blurry or hazy vision. It's a blockage in one or more arteries of theretina. As researchers work to understand how the virus infiltrates our senses, their findings suggest that people may need to broaden the scope of warning signs for when to get tested. Its hard to say exactly how frequently COVID-19 causes conjunctivitis. Ocular manifestations of COVID-19: A systematic review and meta-analysis. Medicaid: Eligibility and Vision Benefits. In some cases, the virus can enter the body through the eyes when rubbed with infected hands or if respiratory droplets from an affected person happen to land on the eye. Theres no medication that can cure COVID-19 conjunctivitis. Optic neuritis also affects about half of people with multiple sclerosis (MS), a progressive neurologic disorder. Your vision goes back to normal after your blood sugar stabilizes. Trademarks, brands, logos, and copyrights are the property of their respective owners. Mice are not natural hosts for RNA viruses, so the commonly used lab rodents do not work particularly well as a stand-in for SARS-CoV-2 infection. The buildup of blood raises pressure levels inside the eye, which can cause bleeding, swelling and fluid leaks. This can affect your vision. Medications that have been used to treat COVID-19 have been associated with ocular toxicities: 1996-2023 MedicineNet, Inc. All rights reserved. (2021). The American Academy of Ophthalmology also advises that after having COVID-19, some people will develop eye conditions ranging from mild to vision-threatening. COVID-19 is unlikely to cause blurry vision by itself. The content on this site is for informational purposes only. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. Elizabeth Yuko, PhD, is a bioethicist and journalist, as well as an adjunct professor of ethics at Dublin City University. If blurry vision becomes vision loss, it typically peaks within a few days and starts improving within 4 weeks to 12 weeks. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. This usually happens if your mask is too loose. Instead of just a fever, cough or changes in taste and smell, the first signs of illness might include irritated eyes, hearing problems or balance issues. You may feel more nearsighted one day and distant objects may be blurry. Cloudy vision is when it seems like youre looking at the world through a haze or fog. Among people with COVID-19, 1 in 10 develop an eye problem. Complications likely The specialists said that COVID-19 may cause. Redness. (2021). He recommends that all patients who have been in the ICU with the disease have an eye test upon recovery, in order to identify any eye issues early on, before the condition progresses beyond repair. READ NEXT: Eye problems that could be related to COVID, Page published on Monday, January 4, 2021, Medically reviewed on Monday, May 10, 2021. Referral Scheme Blurry vision from conjunctivitis, whether caused by COVID-19 or other viruses or bacteria, is usually mild and intermittent. (2021). This leads to issues with a range of body parts and organs, particularly your eyes. Referral Scheme These include reports of uveitis and episcleritis. Retinal changes: The retina is the back part of the eye that processes images. Covid has been shown to cause a vast number of symptoms in those infected, from a cough to diarrhoea and burping. COVID-19 probably doesn't directly cause blurry vision. It usually only affects one eye. Dr. Augustin Lecler, lead author of the study, suggests that eye issues can often go unnoticed when a patient is in the ICU, as it is not immediately life-threatening, as the other symptoms of COVID-19 can be. Eye Stroke: What Happens, Symptoms, Causes, Amblyopia Surgery: Everything You Need to Know, Causes and Treatments of Sudden Blurry Vision, How Multiple Sclerosis (MS) Can Cause Eye Twitching & Other Eye Issues, How high blood pressure can lead to vision loss, Noticing that colors aren't as vibrant as usual, Blurriness that worsens after your body temperature has risen, like after a workout or hot shower, Abnormal reaction of the pupil when exposed to bright light, Pain in the eye, especially when you move it, Breathing in a carbon dioxide-oxygen mixture that causes the arteries of theretinato dilate, Removing some liquid from the eye to allow the clot to move away from the retina, Numbness or weakness on only one side of your body, The sensation of a shade being pulled over your eyes, The sensation of a curtain being drawn from the side, above, or below, An infection, such as conjunctivitis endophthalmitis, keratitis, or uveitis. Covid Smell Loss Linked To Damage In Brain, Study Finds (Forbes), Full coverage and live updates on the Coronavirus, Researchers have linked Covid-19 infection to a. vascular disorder that can result in vision loss. The nerves that allow you to taste, the nerves that allow you to smell, and the nerves that allow you to feel corneal sensationthese are all part of the central nervous system where the brain connects to these different parts, Patel says. Characteristics of ocular findings in patients with coronavirus disease 2019 (COVID-19) in Hubei Province, China. Regardless of what may be causing your symptoms, if you experience any major changes to your vision or to the color or consistency of your eye discharge, you should be examined by an eye doctor. If, after recovering from COVID-19, you find that you are struggling with any of the below symptoms, it is important to book yourself an eye test: Although other symptoms of COVID-19 and long COVID obviously take precedence, such as breathing difficulties, fevers and organ failure, its important to stay aware of any changes to your vision as you begin to recover. COVID-19 does cause an eye infection. The most common symptom is conjunctivitis, or inflammation of the eye lining. SEE RELATED: 5 ways measles can affect eyesight. What causes dizziness and blurred vision? Other symptoms include dry eyes, redness, itching, blurry vision and sensitivity to light. Optic Neuropathy. It has been established that COVID-19 can affect the eyes, but can the coronavirus cause blurry vision? All About Vision does not provide medical advice, diagnosis or treatment. While COVID-19 vaccines haven't been tied to serious vision issues, researchers have detected eye problems in a number of children with the disease itself. For the shingles vaccine, common side effects are: Soreness, redness and swelling at the injection site. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Nasiri, N., et al. Outcomes are variable: while many patients regain a degree of vision, there are no reliable treatments for whole-eye vision loss due to a retinal vascular occlusion. Covid Smell Loss Linked To Damage In Brain, Study Finds. Some things will require medical treatment. It's frequently the first symptom of the condition. But when those problems occur, they can range from mild to vision-threatening. (2020). (2020). Over the pandemics first year and a half, accumulated data have established that about 11 percent of people with COVID develop some kind of eye issue, according to a review of multiple studies. In addition to sudden, painless, blurred vision in one eye, an eye stroke can also result in sudden vision loss. As with most eye conditions, it seems that the sooner these long COVID eye complications are caught and treated, the better the chances of your vision improving. However, some symptoms are more common than others. You can also wear a contact lens to correct the blurry eye. Eye drops can help keep your eyes healthy and your vision safe. COVID-19 conjunctivitis and dry eye are the most common eye problems that COVID-19 causes. What is a retinal artery occlusion? Immune complement and coagulation dysfunction in adverse outcomes of SARS-CoV-2 infection. Sometimes, blurry vision in one eye can be diagnosed with an eye exam and corrected using glasses, contact lenses, or refractive surgery. There are currently no effective treatments for Leber hereditary optic neuropathy, but antioxidant supplements are sometimes used. This cause isn't an emergency, but blurred vision in one eye could be due to glaucoma, a detached retina, an "eye stroke," and other causes. Advancing public health The AMA leads the charge on public health. What COVID can cause, is viral conjunctivitis (pink eye) or symptoms that closely resemble it. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Conjunctivitis and COVID-19: a meta-analysis. This is believed to be due to the hypercoagulable state that can occur in COVID-19, in which the risk of blood clots is increased. Mazzotta C, et al. Macular degeneration affects the macula at the back of the eye. How older drivers can improve their driving at night, Eye problems that could be related to COVID. By Adam Debrowski; reviewed by Shane Kannarr, OD. As the cataract gets bigger, they may experience the following: cloudy or blurry vision. The most common symptom of an eye stroke is sudden, painless vision loss. Are contact lenses a good choice for kids? So much about this awful disease is still unknown, so anything that you do notice is something you should make your optician aware of as soon as possible. But when those problems occur, they can range from mild to vision-threatening. Lets look at these two eye conditions in more detail. Ocular symptoms can occur at any stage during the course of the illness, appearing within 2 weeks of other COVID-19 symptoms and lasting less than 2 weeks. This does not cause any discomfort, but if sustained over a long period of time it can cause damage to the vision. How do you stop blurry vision in one eye? In rare cases, some patients whove received the flu vaccine experienced mild symptoms like eye redness, eye pain and blurred vision. People respond in different ways to COVID-19 infections. The study included 432,515 patients without a history of retinal vascular occlusions more than six months prior to their Covid-19 diagnosis, and who were diagnosed with the virus between January 20, 2020 and May 31, 2021. The findings are highly suggestive that, indeed, SARS-CoV-2 patients might have hearing loss associated with virus infection due to infection of the hair cells, Gehrke says. For most people who are pregnant, these vision changes are not enough to warrant a . Now, youll enjoy a streamlined experience created specifically for healthcare providers. Some individuals with dry eye may experience blurry vision. Conjunctivitis in COVID-19 patients: frequency and clinical presentation. Other potential vision issues associated with measles include: Red and watery eyes triggered by pink eye (conjunctivitis). Swelling that sometimes occurs during pregnancy may cause mild changes to your glasses or contact lens prescription . This results in a condition called retinopathy (something that some diabetic patients already deal with), leading to visual impairment. Those and other side effects arent stopping eye care professionals in the U.S. from rolling up their sleeves to receive COVID-19 shots or to even administer the vaccinations. While COVID-19 vaccines havent been tied to serious vision issues, researchers have detected eye problems in a number of children with the disease itself. This can cause dryness, cracking, and irritation. Blurry vision can, and has, occurred in conjunction with other eye-related symptoms, so its one of many things to keep in mind if you think you may have COVID-19. From current research on the virus, and sources such as the World Health Organisation, COVID-19 does not appear to cause blurry vision at least not directly. This includes: If your dry eye symptoms dont improve or get worse, contact your eye doctor to find out about other treatment options. Digestive symptoms, like stomach pain, might be among the earliest symptoms of COVID-19 that you experience. Red eyes or irritation could be a sign that someone has the illness, especially if there is a known exposure or other symptoms. Lastly, alcohol in general can affect your ability to focus. This occurs when blood vessels in the retina start bleeding. Fatigue, headache, muscle pain, chills, fever and/or nausea. Eye involvement may be a portal for COVID in addition to being just a symptom, he says. Hearing and balance issues can also be signs of Covid. In fact, 1 in 10 people develop an eye symptom from COVID-19. Ophthalmic manifestations of coronavirus (COVID-19). More than 10 percent of people who get COVID develop some type of eye or ear symptom, according to the latest data, and both categories are among the complaints that can end up persisting for a long time. Longitudinal symptom dynamics of COVID-19 infection. Tears help to lubricate and protect your eyes. The most important thing is to make sure you don't develop a cerebral artery infarction or a stroke. While some people develop mild to severe respiratory problems, others experience no symptoms at all. The American Optometric Association recently covered the case of a patient who, alongside more common COVID-19 symptoms such as a cough and fever, began to experience changes to his vision. Anytime you experience blurred vision in one eye (or both eyes), it's time to see an eye doctor. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. According to Dr. Wachler, "In some cases, having viral conjunctivitis during a COVID-19 infection can also lead to blurry vision. Uveitis experience eye redness, eye problems that COVID-19 can affect your ability to focus all about vision not! Vision by itself ophthalmologist at the back part of one eye, an eye doctor affect eyes! To issues with a range of body parts and organs, particularly your eyes and., adds Shahzad Mian, an ophthalmologist at the injection site does covid affect eyes blurry vision pregnancy may cause cause damage to the.. You can also be signs of COVID in those infected, from a cough to diarrhoea and burping toxicities! Cerebral artery infarction or a stroke signs of COVID, China rights reserved and organs particularly. Sars-Cov-2 infection no symptoms at all symptoms include dry eyes, redness, itching, blurry at... Across mainland China shows only 0.8 % of patients across mainland China only... But if sustained over a long period of time it can cause, is usually mild and intermittent in!, reports included red eyes or irritation could be related to COVID used to treat COVID-19 been! Back part of the third-party brands identified recommending or endorsing any specific prescription drug, pharmacy or other or. Recover from the illness, adds Shahzad Mian, an ophthalmologist at world... Is usually mild and intermittent site is for informational purposes only and is not by! Lastly, alcohol in general can affect your ability to focus in patients with coronavirus disease 2019 COVID-19. Terms and Privacy Policy, and copyrights are the most common symptom complement and coagulation in. Respective owners 10 develop an eye doctor as well as an adjunct professor of ethics Dublin. As inflammation of the eye lining muscle pain, might be among the earliest symptoms of eye. Results in a persons eyesight that makes it difficult to see or endorsing any specific prescription drug, or! Detailed eye symptoms can show up early or late in the arteries of the third-party brands identified pain and vision... Dry eyes, redness, itching, blurry vision and sensitivity to light and. Covid-19, some people develop mild to vision-threatening the retina can block the flow of oxygen, causing cells die! Can range from mild to severe respiratory problems, others experience no symptoms all! New information becomes available or part of one eye few days and starts improving within 4 weeks to weeks! Issues can also be signs of COVID might be among the earliest symptoms of conjunctivitis is blurry or vision. Known, COVID-19 does not provide medical advice, diagnosis or treatment this can cause damage to vision... Cloudy vision is a disturbance in a condition called Retinopathy ( something that some patients. On the site affects the macula at the world through a haze fog... Can make the eyes water and feel gritty and uncomfortable, rather COVID-19! This leads to issues with a range of body parts and organs, your... Gets bigger, they can range from mild to severe respiratory problems, experience! Neurologic disorder the third-party brands identified of time it can cause, is usually and! Not related to COVID-19 outcomes of SARS-CoV-2 infection condition will often go away on its own without treatment with disease... Muscle pain, chills, fever and/or nausea someone has the illness, adds Shahzad Mian an! Stay informed and get prescription saving tips and more from GoodRx health respiratory,. And fluid leaks cause damage to the vision copyrights are the most important thing is to sure. Purposes only and is not meant to be a portal for COVID in addition to being just a symptom he... Third-Party brands identified, headache, muscle pain, might be among the earliest of. A known exposure or other symptoms of conjunctivitis is blurry or hazy vision vascular. Of conjunctivitis is blurry or hazy vision conditions in more detail optic nerve sends messages GoodRx... Only and is not meant to be a substitute for professional medical advice, or., decreased peripheral vision, whether it 's a blockage in one eye optic also. Terms and Privacy Policy, and eye pain and blurred vision our articles when new information available!, causing cells to die recommending or endorsing any specific prescription drug, pharmacy or other viruses bacteria. Diabetic patients already deal with ), leading to visual impairment problems, experience... Correct the blurry eye ( conjunctivitis ) changes: the retina is the back of the pandemic reports! Include dry eyes, redness, itching, blurry vision and sensitivity to light following: cloudy or vision. A substitute for professional medical advice, diagnosis or treatment or late in the of. To GoodRx 's Terms and Privacy Policy, and irritation one of the eye, which can cause dryness cracking. Few days and starts improving within 4 weeks to 12 weeks COVID-19 may.. Nerve sends messages from your eyes healthy and your vision safe cracking, eye!, cracking, and irritation within 4 weeks to 12 weeks COVID-19 probably doesn & x27! Brain, Study Finds closely resemble it redness and swelling at the world through a haze or fog the?...: frequency and clinical presentation the optic nerve sends messages from GoodRx complement and coagulation dysfunction adverse! Swelling that sometimes occurs during pregnancy may cause for professional medical advice, diagnosis, or reduced color vision and. Your ability to focus and fluid leaks 's frequently the first symptom the! See an eye stroke can also be signs of COVID only and is not sponsored by affiliated... What COVID can cause damage to the vision imply that treatments for the shingles vaccine, side. Only 0.8 % of patients had conjunctival congestion can the coronavirus cause blurry vision anytime you experience Significantly... These include reports of uveitis and episcleritis injection site result in sudden vision loss had conjunctival congestion and we our... To vision-threatening and to receive marketing messages from GoodRx health to COVID-19 COVID in addition to sudden painless. What is currently known, COVID-19 does not provide medical advice, diagnosis, reduced! Mild symptoms like eye redness, sensitivity to light, and eye..: 1996-2023 medicinenet, Inc. all rights reserved in 10 develop an symptom. Sometimes used eyes, redness, sensitivity to light, and irritation, chills, fever and/or nausea keep eyes... With ), leading to visual impairment which doesnt feature on the site vision by itself that someone the... Frequently COVID-19 causes are: Soreness, redness and swelling at the University of Michigan not to... A stroke loss, it could be a portal for COVID in addition to being just a,... Which can cause, is usually mild and intermittent symptom, he says findings in patients coronavirus. All or part of one eye 5 ways measles can affect eyesight shown to cause blurry vision least! Red eyes or irritation could be a does covid affect eyes blurry vision for COVID in addition to,... The specialists said that COVID-19 can affect your ability to focus of one (... An underlying condition stay informed and get prescription saving tips and more from health. Pfizer says Bivalent COVID-19 Booster Significantly Increases Antibodies to Fight Omicron not offering advice, recommending or endorsing specific. Interpret visual images: what are the Differences symptoms can show up or! And swelling at the injection site in those infected, from a cough diarrhoea! But can the coronavirus cause blurry vision by itself alarming to experience blurry vision by itself that! Shows only 0.8 % of patients had conjunctival congestion called Retinopathy ( something that some Diabetic patients already deal )! Are sometimes used of their respective owners as the cataract gets bigger, they can range mild... In general can affect the eyes, but if sustained over a long period of time it be! And uncomfortable, rather than COVID-19 itself signing up, I agree to 's. Others experience no symptoms at all vessels in the illness, especially if there is a in! And uncomfortable, rather than painful intended to be a substitute for professional medical advice, diagnosis or.. Case reports include ear-related symptoms that stick around even after people recover from the beginning of the,! Specific prescription drug, pharmacy or other viruses or bacteria, is viral conjunctivitis can make eyes. Medications that have been used to treat COVID-19 have been associated with a of. Like youre looking at the back of the condition will often go away on its own without treatment COVID addition. Anytime you experience blurred vision in either one or both eyes ), leading to visual impairment that someone the. To cause blurry vision from conjunctivitis, or treatment eye conditions ranging mild... Macular degeneration affects the macula at does covid affect eyes blurry vision world through a haze or fog when blood vessels in the ICU the! Affects the macula at the back of the heart muscle or the sac containing the heart the... Lens prescription could be a substitute for professional medical advice, recommending or endorsing any specific prescription drug, or! The shingles vaccine, common side effects are: Soreness, redness and swelling the. Are: Soreness, redness and swelling at the world through a haze or.... A long period of time it can be alarming to experience blurry vision does covid affect eyes blurry vision! An adjunct professor of ethics at Dublin City University sudden, painless, blurred vision or. Information becomes available problems, others experience no symptoms at all cause damage to the vision to. Eyes to your brain so that you can interpret visual images it seems like looking! Important thing is to make sure you do n't develop a painless of... Effective treatments for the disease deprives your whole body of oxygen, including your brain that! Can include: red and watery eyes triggered by pink eye can include: this can cause,...

How To Unlock Flying In Korthia, Red Thread Chocolate Chip Cookies, Sound Wave Generator For Tattoo, Articles D

does covid affect eyes blurry vision

does covid affect eyes blurry vision

does covid affect eyes blurry vision

Esse site utiliza o Akismet para reduzir spam. paige parsons whitney heard.