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Retinal Vessel Diameter Changes in COVID-19 Infected Patients
Nazife Aşıkgarip1, Emine Temel1, Lokman Hızmalı2
1Department of Opthalmology, Kırşehir Ahi Evran Training and Research Hospital, Kırşehir, Turkey.
Ocular Immunology and Inflammation
|January 26, 2021
Summary
Retinal blood vessel diameters were larger in patients with coronavirus disease 2019 (COVID-19) during illness. These diameters normalized after recovery, suggesting a potential noninvasive method for assessing vascular risk in COVID-19 patients.
Area of Science:
- Ophthalmology
- Cardiovascular Research
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) is known to affect multiple organ systems.
- Vascular complications are a significant concern in COVID-19 patients.
- Retinal microvasculature may reflect systemic vascular changes.
Purpose of the Study:
- To investigate longitudinal changes in retinal vessel diameters in COVID-19 patients.
- To compare retinal vessel dimensions between COVID-19 patients and healthy controls.
- To assess the potential of retinal vessel diameter measurement as a biomarker for vascular risk in COVID-19.
Main Methods:
- A cohort study involving 25 COVID-19 patients and 25 healthy controls.
- Measurement of peripapillary temporal and nasal retinal artery and vein diameters.
- Serial measurements at baseline and 4 months post-remission.
Main Results:
- COVID-19 patients exhibited significantly increased retinal artery and vein diameters at baseline compared to controls.
- All measured retinal vessel diameters showed a significant decrease 4 months after remission.
- These findings indicate transient vascular alterations in the retina during acute COVID-19.
Conclusions:
- COVID-19 is associated with temporary increases in retinal vessel diameters.
- Retinal vessel diameter measurement offers a potential noninvasive approach to evaluate vascular status in COVID-19.
- Further research is warranted to confirm the utility of retinal imaging in predicting COVID-19-related vascular complications.

