tetano
Editor, Senior Moderator
J Clin Med
. 2022 Mar 25;11(7):1828.
doi: 10.3390/jcm11071828.
Retinal Manifestations in Patients with COVID-19: A Prospective Cohort Study
Eleonora Riotto[SUP] 1 [/SUP], Vladimir Mégevand[SUP] 2 [/SUP], Alexis Mégevand[SUP] 1 [/SUP], Christophe Marti[SUP] 3 [/SUP], Jerome Pugin[SUP] 4 [/SUP], Alexandros N Stangos[SUP] 5 [/SUP], Leonardo Marconi Archinto[SUP] 6 [/SUP], Gordana Sunaric Mégevand[SUP] 5 [/SUP]
Affiliations
Abstract
The recent outbreak of the Coronavirus SARS-CoV-2 has been declared a worldwide pandemic. Within various multi-organ involvement, several ocular manifestations have been described, such as conjunctivitis and retinopathy. The prevalence and severity of retinal lesions and their relation to the severity of the systemic disease are unknown. We performed a prospective, observational study on 172 consecutively hospitalized patients with acute confirmed COVID-19 infection. All patients underwent screening widefield fundus photography at the time of hospital admission. Despite no ocular or vision-related symptoms, we found cotton wool spots (CWS) and/or hemorrhages in 19/172 patients (11%). Diabetes history, overweight, and elevated C-reactive protein were more frequently observed among patients with retinal abnormalities, while a history of systemic hypertension was more frequently observed among patients without retinal findings. At a 3-month follow-up visit, CWS had subsided in all patients.
Keywords: COVID; OCT; SARS-CoV-2; cotton wool spot; retina; retinal hemorrhages; retinopathy.
. 2022 Mar 25;11(7):1828.
doi: 10.3390/jcm11071828.
Retinal Manifestations in Patients with COVID-19: A Prospective Cohort Study
Eleonora Riotto[SUP] 1 [/SUP], Vladimir Mégevand[SUP] 2 [/SUP], Alexis Mégevand[SUP] 1 [/SUP], Christophe Marti[SUP] 3 [/SUP], Jerome Pugin[SUP] 4 [/SUP], Alexandros N Stangos[SUP] 5 [/SUP], Leonardo Marconi Archinto[SUP] 6 [/SUP], Gordana Sunaric Mégevand[SUP] 5 [/SUP]
Affiliations
- PMID: 35407441
- DOI: 10.3390/jcm11071828
Abstract
The recent outbreak of the Coronavirus SARS-CoV-2 has been declared a worldwide pandemic. Within various multi-organ involvement, several ocular manifestations have been described, such as conjunctivitis and retinopathy. The prevalence and severity of retinal lesions and their relation to the severity of the systemic disease are unknown. We performed a prospective, observational study on 172 consecutively hospitalized patients with acute confirmed COVID-19 infection. All patients underwent screening widefield fundus photography at the time of hospital admission. Despite no ocular or vision-related symptoms, we found cotton wool spots (CWS) and/or hemorrhages in 19/172 patients (11%). Diabetes history, overweight, and elevated C-reactive protein were more frequently observed among patients with retinal abnormalities, while a history of systemic hypertension was more frequently observed among patients without retinal findings. At a 3-month follow-up visit, CWS had subsided in all patients.
Keywords: COVID; OCT; SARS-CoV-2; cotton wool spot; retina; retinal hemorrhages; retinopathy.