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Optimization of the Retinal Vein Occlusion Mouse Model to Limit Variability
Published on: August 6, 2021
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.
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.
Abstract:
The coronavirus disease 2019 (COVID-19) has been reported to affect vascular networks including the eye. However, evidence on the causal relationship between COVID-19 infection and retinal vascular occlusions remains limited. This study aimed to determine the change in retinal vascular occlusion incidence during COVID-19 era and whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection induces retinal vascular occlusion. Retinal vein occlusion (RVO) and retinal artery occlusion (RAO) incidences during 2018-2019 and 2020-July 2021 were compared, those in confirmed and suspected COVID-19 patients diagnosed from 2020 to January 2021 were calculated, and those in COVID-19 patients during 180 days prior and 180 days after diagnosis were assessed. Additionally, the standardized incidence ratio of RVOs in COVID-19 patients was analyzed. Incidence rates per 100,000 people/year of RVO during 2018-2019 and 2020-2021 was 102.0 and 98.8, respectively. RAO incidence rates during 2018-2019 and 2020-2021 were 11.7 and 12.0, respectively. In both confirmed and suspected COVID-19 patients, the incidence of RVO and RAO did not change significantly from 180 days before to after diagnosis in the adjusted model. RVO incidence slightly decreased while RAO incidence increased during the COVID-19 pandemic. SARS-CoV-2 infection did not significantly increase RVO or RAO incidence.
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