Retinopathy and Systemic Disease Morbidity in Severe COVID-19
Year: 2021
Type: dataset
Abstract: To assess the prevalence of retinopathy and its association with systemic morbidity and laboratory indices of coagulation and inflammatory dysfunction in severe COVID-19. Retrospective, observational cohort study. Adult patients hospitalized with severe COVID-19 who underwent ophthalmic examination from April to July 2020 were reviewed. Retinopathy was defined as one of the following: 1) Retinal hemorrhage; 2) Cotton wool spots; 3) Retinal vascular occlusion. We analyzed medical comorbidities, sequential organ failure assessment (SOFA) scores, clinical outcomes, and laboratory values for their association with retinopathy. Thirty-seven patients with severe COVID-19 were reviewed, the majority of whom were female (n = 23, 62%), Black (n = 26, 69%), and admitted to the intensive care unit (n = 35, 95%). Fourteen patients had retinopathy (38%) with retinal hemorrhage in 7 (19%), cotton wool spots in 8 (22%), and a branch retinal artery occlusion in 1 (3%) patient. Patients with retinopathy had higher SOFA scores than those without retinopathy (8.0 vs. 5.3, p = .03), higher rates of respiratory failure requiring invasive mechanical ventilation and shock requiring vasopressors (p p = .03). Peak CRP was higher in patients with cotton wool spots versus those without cotton wool spots (354 mg/dL vs. 268 mg/dL, p = .03). Multivariate logistic regression modeling showed an increased risk of retinopathy with higher peak D-dimers (aOR 1.32, 95% CI 1.01–1.73, p = .04) and male sex (aOR 9.6, 95% CI 1.2–75.5, p = .04). Retinopathy in severe COVID-19 was associated with greater systemic disease morbidity involving multiple organs. Given its association with coagulopathy and inflammation, retinopathy may offer insight into disease pathogenesis in patients with severe COVID-19.
Source: Figshare
Authors: Shantha, Jessica G., Auld, Sara C, Anthony, Casey, Ward, Laura, Adelman, Max W., Maier, Cheryl L., Price, Kenneth W., Jacob, Jesse T, Fashina, Tolulope, Randleman, Casey, Xu, Lucy T., Barnett, Joshua, Sadan, Ofer, Kandiah, Prem A., Varkey, Jay B., Kraft, Colleen S., Rouphael, Nadine, Linderman, Susanne, Ahmed, Rafi, Drews-Botsch, Carolyn, Waggoner, Jesse J., Weinmann, Max, Murphy, David J., Yeh, Steven
Language: English
Topic: Retinal and Optic Conditions
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4394313627