Evidence map›Paper›PMID 34872499›Full record

ArticleBMC ophthalmology2021

Long-term ocular damage after recovery from COVID-19: lack of evidence at three months.

Victor Brantl, Benedikt Schworm, Gregor Weber, Johannes Schiefelbein, Thomas C Kreutzer, Stylianos Michalakis, Jakob Siedlecki, Siegfried G Priglinger

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. The spectrum of COVID-19-associated chorioretinal vasculopathy.American journal of ophthalmology case reports · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Review
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

8 authors at 1 institution in 1 country.

Victor BrantlDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336, Munich, Germany.
Benedikt SchwormDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336, Munich, Germany.
Gregor WeberDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336, Munich, Germany.
Johannes SchiefelbeinDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336, Munich, Germany.
Thomas C KreutzerDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336, Munich, Germany.
Stylianos MichalakisDepartment of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336, Munich, Germany.
Jakob Siedlecki *Department of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336, Munich, Germany. Jakob.Siedlecki@med.uni-muenchen.de.
Siegfried G Priglinger *Department of Ophthalmology, Ludwig-Maximilians-University, Mathildenstraße 8, 80336, Munich, Germany. Siegfried.Priglinger@med.uni-muenchen.de.
Ludwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceA small number of COVID-19 patients has been reported to suffer from acute keratoconjunctivitis. In very rare cases, acute inflammatory retinal vein occlusion, papillophlebitis or retinopathy have been observed.

objectiveTo determine possible long-term effects on the eye, especially on the retina, in patients who had suffered from COVID-19 at least 3 months after recovery.

designProspective cross-sectional study.

settingHospital of the Ludwig Maximilians University, Munich.

participantsPatients who had been tested positive for SARS-CoV-2 or for anti-SARS-CoV-2 IgG serum antibodies in the Hospital of the Ludwig Maximilians University, Munich between May and September.

methodsPatients who had tested positive were either hospitalized or discharged into home quarantine via the emergency room. Three months after recovery, they were invited to participate voluntarily for this study during their follow-up in our clinic. A complete ophthalmological exam including functional and imaging end points (including optical coherence tomography (OCT), OCT angiography) was performed. MAIN OUTCOMES AND MEASURES: Visual acuity, slit lamp, bio microscopy and fundoscopy, multimodal imaging findings.

resultsIn total, 21 patients were examined. The mean age (SD) of the patients was 48.7 (18.3) years. Of these, 14 (66.6%) were hospitalized and 7 (33.3) were discharged home. Two hospitalized patients (9.5%) received invasive ventilation. During the infection, 14 of the 21 patients (66.6%) were in regular care whereas 2 patients (9.5%) received intensive care ventilation for 8.5 (SD) (0.7) days on average in the COVID ICU. Ophthalmological examination of the previously hospitalized group took place 111.4 (23.2) days after recovery and discharge from the hospital, while non-hospitalized patients were examined after mean 123.4 (44.7) days. All patients showed normal findings for anterior and posterior segment of both eyes. OCT and OCT-A showed no evidence of retinal damage, or vascular or microvascular events. CONCLUSION AND RELEVANCE: This study with a small prospective cohort of 21 patients indicates that there might be no evidence of ocular complications at 3 months after recovery from COVID-19, without previous eye involvement. Further studies with more participants with and without acute ocular symptoms are necessary for final evidence.

Indexed as

COVID-19Cross-Sectional StudiesFluorescein AngiographyHumansMiddle AgedProspective StudiesSARS-CoV-2COVID-19COVID-19 retinal microangiopathy COVID-19 retinaCOVID-19 vascular risk

Identifiers

PMID34872499
PMCPMC8648337
OpenAlexW4200170172

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.