Evidence map›Paper›PMID 35298583›Full record

ArticleArquivos brasileiros de oftalmologia2022

Vascular retinal findings after COVID-19 vaccination in 11 cases: a coincidence or consequence?

Letícia S C da Silva, Luciana P S Finamor, Gabriel C Andrade, Luiz H Lima, Claudio Zett, Cristina Muccioli, Eduardo P Sarraf, Paula M Marinho, Julia Peruchi, Raiza D de L Oliveira and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de oftalmologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

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  13. Retinal artery/vein occlusion complicating SARS-CoV-2 vaccinations.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 2 countries.

Letícia S C da SilvaDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-3003-7301
Luciana P S FinamorDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Gabriel C AndradeDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-5881-8126
Luiz H LimaDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0001-7304-909X
Claudio ZettPontifcia Universidad Católica de Valparaíso, Valparaíso, Chile.
Cristina MuccioliDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Eduardo P SarrafDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Paula M MarinhoDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Julia PeruchiVisão Center, São Mateus, ES, Brazil.
Raiza D de L OliveiraDepartment of Ophthalmology, Universidade de São Paulo, São Paulo, SP, Brazil.
Lena GiraltDepartment of Ophthalmology BioCruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Barakaldo, Spain.
Ivonne CharcanDepartment of Ophthalmology BioCruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Barakaldo, Spain.
Alex FonollosaDepartment of Ophthalmology BioCruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Barakaldo, Spain.ORCID 0000-0002-1521-7144
Jose D DiazBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Janet L DavisBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Heloisa NascimentoDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0003-0315-1317
Rubens BelfortDepartment of Ophthalmology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Universidade Federal de São Paulo · BRUniversity of Miami · USUniversidade de São Paulo · BRValparaiso University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary purpose of this study was to assess vascular retinal findings temporally related to COVID-19 vaccination. With greater information regarding all possible future adverse events, we hope to understand the real dimension and relevance of what was presented.

methodsEleven patients with visual complaints after COVID-19 vaccination were enrolled. Data on the following were included: age, sex, vaccine, time of symptom onset, systemic findings, medical history, best-corrected visual acuity, and ocular findings by slit-lamp biomicroscopy as well as multimodal retinal imaging (color fundus, red-free photography, spectral-domain optical coherence tomography, optical coherence tomography angiography, and fluorescein-angiography). Inclusion criteria were the presence of ophthalmologic signs within 30 days after the first or second dose of any COVID-19 vaccine.

resultsOf 11 patients, five had arterial occlusion (45.4%), four had venous occlusion (36.4%), and two (18.2%) had nonspecific vascular alterations suggestive of retinal ischemia such as cotton-wool spots. The mean age was 57 (SD = 16; range: 27-84) years. The mean time of symptoms onset was 10 (SD = 5.4; range: 3-16) days. Nine patients were female (81.8%). Systemic risk factors were observed in 36.4% of patients. Two patients had both neurological and visual symptoms, with arterial occlusion. Overall, 36.4% patients had COVID-19 in the previous year. Seven patients (63.6%) received ChAdOx1 nCoV-19 (AZD1222) vaccine.

conclusionsOur data suggest that retinal events temporally related to COVID-19 vaccination are possible but are very rare. The relationship of these events with post-COVID-19 vaccination warrants further attention to derive a meaningful conclusion.

Indexed as

COVID-19VaccinesChAdOx1 nCoV-19COVID-19 VaccinesFemaleFluorescein AngiographyHumansMaleMiddle AgedTomography, Optical CoherenceVaccinationChAdOx1 nCoV-19COVID-19 VaccinesVaccines

Identifiers

PMID35298583
PMCPMC11826570
OpenAlexW4206202769

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.