Retinal vascular occlusion risks during the COVID-19 pandemic and after SARS-CoV-2 infection

Hyo Song Park1,2, Sunyeup Kim3, Christopher Seungkyu Lee4

  • 1Department of Ophthalmology, College of Medicine, Soonchunhyang University, Cheonan, South Korea.

Scientific Reports
|October 6, 2023
PubMed

Insights

This study found that coronavirus disease 2019 (COVID-19) did not increase the incidence of retinal vascular occlusions, including retinal vein occlusion (RVO) and retinal artery occlusion (RAO). Retinal occlusion rates remained stable during the COVID-19 pandemic.

Area of Science:

  • Ophthalmology
  • Vascular Biology
  • Infectious Diseases

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic has raised concerns about its potential impact on vascular health, including the eye.
  • Limited evidence exists on a causal link between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and retinal vascular occlusions.

Purpose of the Study:

  • To investigate changes in the incidence of retinal vein occlusion (RVO) and retinal artery occlusion (RAO) during the COVID-19 era.
  • To determine if SARS-CoV-2 infection is a risk factor for developing RVO or RAO.

Main Methods:

  • Comparative analysis of RVO and RAO incidence rates between pre-pandemic (2018-2019) and pandemic (2020-July 2021) periods.
  • Assessment of RVO and RAO incidence in confirmed and suspected COVID-19 patients around their diagnosis date (180 days before and after).
  • Calculation of standardized incidence ratios for RVO in COVID-19 patients.

Main Results:

  • Retinal vein occlusion (RVO) incidence slightly decreased (102.0 to 98.8 per 100,000 person-years), while retinal artery occlusion (RAO) incidence slightly increased (11.7 to 12.0 per 100,000 person-years) during the COVID-19 pandemic.
  • No significant change in RVO or RAO incidence was observed in COVID-19 patients when comparing periods before and after diagnosis.
  • The overall incidence of SARS-CoV-2 infection did not significantly elevate the risk of RVO or RAO.

Conclusions:

  • The COVID-19 pandemic did not lead to a significant increase in the incidence of retinal vascular occlusions.
  • SARS-CoV-2 infection does not appear to be a direct cause of increased RVO or RAO incidence.