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Published on: September 20, 2018
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.
Purpose:
To determine whether SARS-CoV-2 infection is associated with retinal hemorrhage in young children.
Methods:
The medical records of children <8 years of age treated in the University of Rochester healthcare system between July 1, 2020, and July 1, 2024, who underwent ophthalmologic examination, within 28 days of a COVID-19 diagnosis were reviewed retrospectively.
Results:
A total of 8,196 children were diagnosed with COVID-19 during the study period. Of these, 56 had a dilated ocular examination within 28 days of their COVID-19 diagnosis. All fundus examinations were normal except for 1 patient with optic nerve edema. Our findings suggest with 95% confidence, that the true incidence of retinal hemorrhage in children <8 years old following COVID-19 infection is likely to be <9.09% at 14 days, 7.69% at 21 days, and 5.35% at 28 days.
Conclusions:
Our data, along with a review of the literature, suggest that there is little if any evidence that SARS-CoV-2 infection causes retinal hemorrhage in young children.
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