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Ocular MRI Findings in Patients with Severe COVID-19: A Retrospective Multicenter Observational Study

Augustin Lecler1, François Cotton1, François Lersy1

  • 1From the Department of Neuroradiology, Rothschild Foundation Hospital, 25 rue Manin, 75019 Paris, France (A.L., F.H.); Department of Neuroradiology, CHU Lyon, Lyon, France (F.C.); and Department of Neuroradiology, CHU Strasbourg, Strasbourg, France (F.L., S.K.).

Radiology
|February 16, 2021
PubMed

Insights

Severe COVID-19 can cause eye abnormalities, including posterior pole nodules seen on MRI. Screening patients with severe coronavirus disease 2019 may help manage potential vision problems.

Area of Science:

  • Ophthalmology
  • Radiology
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19) is known to affect multiple organs.
  • Ophthalmologic manifestations of COVID-19 are increasingly recognized.
  • Globe magnetic resonance imaging (MRI) can detect ocular abnormalities.

Purpose of the Study:

  • To report globe MRI findings in patients with severe COVID-19.
  • To characterize posterior pole nodules observed in COVID-19 patients.

Main Methods:

  • A multicenter case series of 129 patients with severe COVID-19.
  • Globe MRI was performed on a subset of patients.
  • Analysis of MRI findings, focusing on posterior pole abnormalities.

Main Results:

  • Nine of 129 (7%) patients with severe COVID-19 showed globe MRI abnormalities.
  • All nine patients had posterior pole nodules hyperintense on fluid-attenuated inversion-recovery (FLAIR) imaging.
  • Nodules were predominantly in the macular region (100%), often bilateral (89%).

Conclusions:

  • Severe COVID-19 is associated with specific globe MRI findings, including posterior pole nodules.
  • These findings suggest potential ophthalmologic involvement in severe COVID-19.
  • Screening for these abnormalities may aid in managing severe COVID-19-related eye conditions.

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