COVID-19 retinal microangiopathy as an in vivo biomarker of systemic vascular disease?

© 2020 The Association for the Publication of the Journal of Internal Medicine..

IMPORTANCE: COVID-19 is caused by SARS-CoV-2, a betacoronavirus that uses the angiotensin-converting enzyme-related carboxypeptidase (ACE2) receptor to gain entry into cells. ACE2 receptor is widely expressed in multiple organs, including the retina, an extension of the central nervous system. The ACE2 receptor is involved in the diabetic and hypertensive retinopathy. Additionally, coronaviruses cause ocular infections in animals, including retinitis, and optic neuritis.

OBJECTIVE: To assess whether there is any retinal disease associated with COVID-19.

DESIGN: We have evaluated 27 asymptomatic subjects, with retinal fundoscopic, optical coherence tomography (OCT) and OCT angiography fourteen days after hospital discharge due to COVID-19 bilateral pneumonia.

RESULTS: Cotton wool exudates were evident in six out of 27 patients evaluated, a 22%. Cotton wool exudates are a marker vascular disease severity in other medical context, that is diabetes and hypertension, and are associated with increased risk for acute vascular events. Whether antiaggregation therapy may play a role on fundoscopic-selected patients with COVID-19 requires prospective trials.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:289

Enthalten in:

Journal of internal medicine - 289(2021), 1 vom: 18. Jan., Seite 116-120

Sprache:

Englisch

Beteiligte Personen:

Landecho, M F [VerfasserIn]
Yuste, J R [VerfasserIn]
Gándara, E [VerfasserIn]
Sunsundegui, P [VerfasserIn]
Quiroga, J [VerfasserIn]
Alcaide, A B [VerfasserIn]
García-Layana, A [VerfasserIn]

Links:

Volltext

Themen:

COVID-19 retinal microangiopathy
COVID-19 retinopathy
COVID-19 vascular risk
Journal Article

Anmerkungen:

Date Completed 19.01.2021

Date Revised 19.01.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/joim.13156

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313052352