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Fundus Examination to Guide Anticoagulation Therapy in Suspected COVID-19 in a Critical Care Unit
Rini Saha1, Subodh K Singh1, Sukhen Samanta2
1Department of Ophthalmology, IRIS Super Speciality Eye Hospital, Ranchi, Jharkhand, India.
Insights
Ophthalmological fundus examination can reveal critical information about COVID-19 patients. This non-invasive technique may help guide anticoagulation therapy decisions in intensive care settings.
Area of Science:
- Ophthalmology
- Critical Care Medicine
- Infectious Diseases
Background:
- COVID-19 is associated with a hypercoagulable state and increased risk of thrombotic events.
- Anticoagulation therapy is crucial for managing critically ill COVID-19 patients.
- Ocular manifestations of COVID-19, including retinal changes, have been reported.
Purpose of the Study:
- To explore the utility of fundus examination in assessing COVID-19-related coagulopathy.
- To determine if fundus findings can inform anticoagulation therapy in critical care.
Main Methods:
- A critical care unit setting was used for the study.
- Fundus examinations were performed on patients with suspected COVID-19.
- Clinical data, including anticoagulation status, were correlated with fundus findings.
Main Results:
- Specific retinal vascular changes were observed in patients with COVID-19.
- These fundus findings may indicate underlying thrombotic activity.
- The study suggests a potential link between fundus appearance and the need for anticoagulation.
Conclusions:
- Fundus examination offers a valuable, non-invasive method to assess systemic vascular status in COVID-19.
- Ophthalmological findings can potentially guide the intensity and duration of anticoagulation therapy.
- Integrating fundus examination into critical care protocols may improve patient management.
Abstract:
How to cite this article: Saha R, Singh SK, Samanta S. Fundus Examination to Guide Anticoagulation Therapy in Suspected COVID-19 in a Critical Care Unit. Indian J Crit Care Med 2021;25(6):737-738.
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