CHARACTERIZING COVID-19-RELATED RETINAL VASCULAR OCCLUSIONS : A Case Series and Review of the Literature

PURPOSE: To describe clinical and ophthalmologic features and outcomes of patients with coronavirus disease-19 with retinal vascular occlusions.

METHODS: Retrospective multicenter case series and PubMed review of cases reported from March 2020 to September 2021. Outcome measures are as follows: type of occlusion, treatments, best-corrected visual acuity, and central macular thickness on optical coherence tomography.

RESULTS: Thirty-nine patients were identified. Fifteen patients with a median age of 39 (30-67) years were included in the multicenter study. Vascular occlusions included central retinal vein occlusion (12 eyes), branch retinal vein occlusion (4 eyes), and central retinal artery occlusion (2 eyes). Three cases were bilateral. Baseline best-corrected visual acuity was 20/45 (no light perception-20/20). Baseline central macular thickness was 348.64 (±83) μm. Nine eyes received anti-vascular endothelial growth factor agents, dexamethasone intravitreal implant, or both. Final best-corrected visual acuity was 20/25 (no light perception-20/20), and central macular thickness was 273.7 ± 68 μm (follow-up of 19.6 ± 6 weeks). Among the 24 cases from the literature review, retinal vein occlusion was the predominant lesion. Clinical characteristics and outcomes were similar to those found in our series.

CONCLUSION: Coronavirus disease-19-associated retinal vascular occlusions tend to occur in individuals younger than 60 years. Retinal vein occlusion is the most frequent occlusive event, and outcomes are favorable in most cases.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

Retina (Philadelphia, Pa.) - 42(2022), 3 vom: 01. März, Seite 465-475

Sprache:

Englisch

Beteiligte Personen:

Fonollosa, Alex [VerfasserIn]
Hernández-Rodríguez, José [VerfasserIn]
Cuadros, Carlos [VerfasserIn]
Giralt, Lena [VerfasserIn]
Sacristán, Cristina [VerfasserIn]
Artaraz, Joseba [VerfasserIn]
Pelegrín, Laura [VerfasserIn]
Olate-Pérez, Álvaro [VerfasserIn]
Romero, Rosa [VerfasserIn]
Pastor-Idoate, Salvador [VerfasserIn]
Sobas Bsc, Eva María [VerfasserIn]
Fernández-Fidalgo, Sonia [VerfasserIn]
Abraldes, Maximino J [VerfasserIn]
Oleñik, Andrea [VerfasserIn]
Insausti-García, Alfredo [VerfasserIn]
Torres, Pedro [VerfasserIn]
Porcar, Carmela [VerfasserIn]
Lorca, Daniela Rego [VerfasserIn]
Adan, Alfredo [VerfasserIn]
Spanish Society of Ocular Inflammation (SEIOC) [VerfasserIn]
Spanish Society of Ocular Inflammation (SEIOC) [VerfasserIn]

Links:

Volltext

Themen:

7S5I7G3JQL
Angiogenesis Inhibitors
Dexamethasone
Drug Implants
Glucocorticoids
Journal Article
Multicenter Study
Review
VEGFA protein, human
Vascular Endothelial Growth Factor A

Anmerkungen:

Date Completed 04.03.2022

Date Revised 03.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1097/IAE.0000000000003327

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334505623