Evidence map›Paper›PMID 34827019›Full record

ArticleIndian journal of ophthalmology2021

Sight-threatening intraocular infection in patients with COVID-19 in India.

Sameera Nayak, Taraprasad Das, Deepika Parameswarappa, Savitri Sharma, Saumya Jakati, Subhadra Jalali, Raja Narayanan, Soumyava Basu, Mudit Tyagi, Vivek Pravin Dave and 11 more

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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
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  3. Indian journal of ophthalmology · 2022
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  4. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 2 institutions in 1 country.

Sameera NayakVitreo-Retina and Uvea Services, L V Prasad Eye Institute, Kode Venkatadri Chowdary Campus, Vijayawada, Andhra Pradesh, India.
Taraprasad DasSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Deepika ParameswarappaSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Savitri SharmaJhaveri Microbiology Centre and Saroja A Rao Immunology Laboratory, Hyderabad, Telangana, India.
Saumya JakatiOphthalmic Pathology Laboratory, L V Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, Telangana, India.
Subhadra JalaliSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Raja NarayananSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Soumyava BasuSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Mudit TyagiSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Vivek Pravin DaveSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Rajeev Reddy PappuruSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Avinash PathengayUvea Services, L V Prasad Eye Institute, GMR Varalakshmi Campus, Vishakhapatnam, Andhra Pradesh, India.
Hrishikesh KazaSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Padmaja Kumari RaniSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Shashwat BeheraVitreo-Retina and Uvea Services, L V Prasad Eye Institute, Kode Venkatadri Chowdary Campus, Vijayawada, Andhra Pradesh, India.
Niroj Kumar SahooVitreo-Retina and Uvea Services, L V Prasad Eye Institute, Kode Venkatadri Chowdary Campus, Vijayawada, Andhra Pradesh, India.
Aditya KapoorVitreo-Retina and Uvea Services, L V Prasad Eye Institute, Kode Venkatadri Chowdary Campus, Vijayawada, Andhra Pradesh, India.
Hitesh AgrawalSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Komal AgarwalSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Brijesh TakkarSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Vishal Ramesh RavalSmt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Hyderabad, Telangana, India.
Advanced Centre for Treatment, Research and Education in Cancer · INL V Prasad Eye Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntraocular infection in patients with COVID-19 could be different in the presence of treatment with systemic corticosteroid and immunosuppressive agents. We describe the epidemiology and microbiological profile of intraocular infection in COVID-19 patients after their release from the hospital.

methodsWe analyzed the clinical and microbiological data of laboratory-confirmed COVID-19 patients from April 2020 to January 2021 presenting with features of endogenous endophthalmitis within 12 weeks of their discharge from the hospital in two neighboring states in South India. The data included demography, systemic comorbidities, COVID-19 treatment details, time interval to visual symptoms, the microbiology of systemic and ocular findings, ophthalmic management, and outcomes.

resultsThe mean age of 24 patients (33 eyes) was 53.6 ± 13.5 (range: 5-72) years; 17 (70.83%) patients were male. Twenty-two (91.6%) patients had systemic comorbidities, and the median period of hospitalization for COVID-19 treatment was 14.5 ± 0.7 (range: 7-63) days. Infection was bilateral in nine patients. COVID-19 treatment included broad-spectrum systemic antibiotics (all), antiviral drugs (22, 91.66% of patients), systemic corticosteroid (21, 87.5% of patients), supplemental oxygen (18, 75% of patients), low molecular weight heparin (17, 70.8% of patients), admission in intensive care units (16, 66.6% of patients), and interleukin-6 inhibitor (tocilizumab) (14, 58.3% of patients). Five (20.8%) patients died of COVID-19-related complications during treatment for endophthalmitis; one eye progressed to pan ophthalmitis and orbital cellulitis; eight eyes regained vision >20/400. Fourteen of 19 (73.7%) vitreous biopsies were microbiologically positive (culture, PCR, and microscopy), and the majority (11 patients, 78.5%) were fungi.

conclusionIntraocular infection in COVID-19 patients is predominantly caused by fungi. We suggest a routine eye examination be included as a standard of care of COVID-19.

Indexed as

COVID-19 Drug TreatmentEndophthalmitisEye Infections, BacterialEye Infections, FungalAdultAnti-Bacterial AgentsHumansIndiaMaleRetrospective StudiesSARS-CoV-2Visual AcuityYoung AdultAnti-Bacterial AgentsCOVID-19endogenous endophthalmitisintraocular infection

Identifiers

PMID34827019
PMCPMC8837282
OpenAlexW3216289215

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LicenceCC BY-NC-SA
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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.