Incidence and characterization of retinal findings after SARS-CoV-2 infection in children

Nir Zontag1, Jacob Perkins2, Brittany M Wong2

  • 1Arrow Program for Medical Research Education, Sheba Medical Center, Tel Hashomer, Israel; Pediatric Ophthalmology and Ocular Genetics, Flaum Eye Institute, University of Rochester, Rochester, New York.

Insights

This study found no evidence linking SARS-CoV-2 (COVID-19) infection to retinal hemorrhage in young children. Retinal examinations in COVID-19 diagnosed children showed no hemorrhages, suggesting a low incidence.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Infectious Diseases

Background:

  • The association between SARS-CoV-2 infection and ocular manifestations, particularly retinal hemorrhage in children, remains under investigation.
  • Understanding potential complications of COVID-19 in pediatric populations is crucial for clinical management.

Purpose of the Study:

  • To investigate the incidence of retinal hemorrhage in children under 8 years old following SARS-CoV-2 infection.
  • To determine if COVID-19 diagnosis is associated with retinal abnormalities in young children.

Main Methods:

  • Retrospective review of medical records for children under 8 years old diagnosed with COVID-19.
  • Ophthalmologic examinations performed within 28 days of COVID-19 diagnosis were analyzed.
  • Data collected from the University of Rochester healthcare system between July 2020 and July 2024.

Main Results:

  • Out of 8,196 children diagnosed with COVID-19, 56 underwent ophthalmologic examination within 28 days.
  • No cases of retinal hemorrhage were identified in the examined children.
  • One patient presented with optic nerve edema; all other fundus examinations were normal.

Conclusions:

  • The study suggests a very low incidence of retinal hemorrhage in young children following SARS-CoV-2 infection.
  • Current evidence indicates little to no causal link between COVID-19 and retinal hemorrhage in this pediatric age group.
Abstract

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