Evidence map›Paper›PMID 34146056›Full record

ArticleIndian journal of ophthalmology2021

Endogenous fungal endophthalmitis following intensive corticosteroid therapy in severe COVID-19 disease.

Daraius Shroff, Ritesh Narula, Neelam Atri, Arindam Chakravarti, Arpan Gandhi, Neelam Sapra, Gagan Bhatia, Shraddha R Pawar, Shishir Narain

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Rhino-Orbital-Cerebral Mucormycosis With Bilateral EndogenousCase reports in ophthalmological medicine · 2026
    Article
  3. Article
  4. Review
  5. Endophthalmitis: a bibliometric study and visualization analysis from 1993 to 2023.Frontiers in cellular and infection microbiology · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Indian journal of ophthalmology · 2022
    Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Analysis of COVID-19 publications in theIndian journal of ophthalmology · 2022
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Daraius ShroffShroff Eye Centre, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Ritesh NarulaCentre for Sight, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Neelam AtriShroff Eye Centre, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Arindam ChakravartiCentre for Sight, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Arpan GandhiOcular Pathology and Microbiology Services, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Neelam SapraDr. Sapra's Lab, Gurgaon, Haryana, India.
Gagan BhatiaShroff Eye Centre, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Shraddha R PawarCentre for Sight, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Shishir NarainShroff Eye Centre, Dr. Shroff's Charity Eye Hospital, New Delhi, India.
Dr. Shroff’s Charity Eye Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To report endogenous fungal endophthalmitis, postrecovery from severe COVID-19 infection in otherwise immunocompetent individuals, treated with prolonged systemic steroids. Methods: Retrospective chart review of cases with confirmed and presumed fungal endogenous endophthalmitis, following severe COVID-19 disease, treated at two tertiary care referral eye institutes in North India. Results: Seven eyes of five cases of endogenous fungal endophthalmitis were studied. All cases had been hospitalized for severe COVID-19 pneumonia and had received systemic steroid therapy for an average duration of 42 ± 25.1 days (range 18-80 days). All the cases initially complained of floaters with blurred vision after an average of 6 days (range 1-14 days) following discharge from hospital. They had all been misdiagnosed as noninfectious uveitis by their primary ophthalmologists. All eyes underwent pars plana vitrectomy (PPV) with intravitreal antifungal therapy. Five of the seven eyes grew fungus as the causative organism (Candida sp. in four eyes, Aspergillus sp. in one eye). Postoperatively, all eyes showed control of the infection with a marked reduction in vitreous exudates and improvement in vision. Conclusion: Floaters and blurred vision developed in patients after they recovered from severe COVID-19 infection. They had received prolonged corticosteroid treatment for COVID-19 as well as for suspected noninfectious uveitis. We diagnosed and treated them for endogenous fungal endophthalmitis. All eyes showed anatomical and functional improvement after PPV with antifungal therapy. It is important for ophthalmologists and physicians to be aware of this as prompt treatment could control the infection and salvage vision.

Indexed as

COVID-19EndophthalmitisEye Infections, FungalFungiHumansIndiaRetrospective StudiesSARS-CoV-2Visual AcuityVitrectomyCorticosteroid therapyCOVID-19Endogenous endophthalmitisFloatersFungal endophthalmitisPars plana vitrectomy

Identifiers

PMID34146056
PMCPMC8374784
OpenAlexW3167751202

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.