twitter
en ENGLISH
eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Recenzenci Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Opłaty publikacyjne Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
2/2024
vol. 126
 
Poleć ten artykuł:
Udostępnij:
streszczenie artykułu:
Artykuł oryginalny

Retinal changes in patients with different COVID-19 course

Kateryna Hutsaliuk
1, 2
,
Nataliia Skalska
3
,
Oleksandra Zborovska
4
,
Nadiia Ulianova
5

  1. The Regional Ophthalmology Centre, ME Volyn Regional Clinical Hospital of the Volyn Regional Council, Lutsk, Ukraine
  2. Postgraduate student in SI The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odesa, Ukraine
  3. Infectious Department, ME Volyn Regional Clinical Hospital of the Volyn Regional Council, Lutsk, Ukraine
  4. Department of Inflammatory Pathology of the Eye, SI The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odesa, Ukraine
  5. Department of Post-traumatic Eye Pathology, SI The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odesa, Ukraine
KLINIKA OCZNA 2024, 126, 2: 71-78
Data publikacji online: 2024/06/27
Pełna treść artykułu Pobierz cytowanie
 
Metryki PlumX:


Aim of the study
To study the peculiarities of retinal changes’ structure and frequency according to fundoscopy data in patients with different clinical course of COVID-19.

Material and methods
This was prospective, uncontrolled cross-sectional study. A total of 117 patients (234 eyes) with varying severity of COVID-19 clinical course were divided into groups: 1) an extremely severe course; 2) a severe course; 3) moderate se¬verity with decompensated accompanying pathology; 4) moderate severity with compensated concomitant pathology. Registration of patients’ eye fundus with the portable fundus camera Pictor Plus Fundus Camera and VistaView (Volk Optical).

Results
Cotton wool spots, narrowed retinal vessels, central retinal vein occlusion (CRVO) (8.8%), petechial and intraretinal hemor¬rhages (23.5%), tortuosity and dilatation of retinal venules (11.8%), prethrombosis of the central retinal vein (CRV) (a state determi¬ned by venous blood stasis, characterized by dilated appearance of the eye fundus veins, their dark color, curved structure, optic nerve edema) (2.9%) and vitreous hemorrhage (5.9%) were found in 1st group patients; in 29.4% of cases there were no retinal changes. Retinal changes were absent in 59.3% in 4th group patients and in 86.7% in 3rd group patients; no clinically significant retinal changes were detected in these patients.

Conclusions
Retinal changes’ structure and frequency in patients with COVID-19 correlate with the severity of its clinical course. Within 1st group patients cotton wool spots, narrowed retinal ves¬sels, petechial and intraretinal hemorrhages, thrombosis/prethrom¬bosis of CRV, tortuosity and dilatation of retinal venules, and vitreo¬us hemorrhage are diagnosed, which is significantly more common than in patients of 3rd and 4th groups (p < 0.05). A trend of decre¬asing risk of clinically significant retinal changes (thrombosis/ prethrombosis of CRV) and vitreous hemorrhage with decreasing severity of the disease was observed.

© 2024 Termedia Sp. z o.o.
Developed by Bentus.