ESCRS - PPE28.15 - Ocular Manifestations Of Hospitalized Patients With Covid-19 In Northeast Of Iran

Ocular Manifestations Of Hospitalized Patients With Covid-19 In Northeast Of Iran

Published 2022 - 40th Congress of the ESCRS

Reference: PPE28.15 | Type: ESONT - Abstract | DOI: 10.82333/5w71-hd12

Authors: Sanaz Karimkeshteh*, Mojtaba Abrishami 1 , Arash Omidtabrizi 2 , Ramin Daneshvar

1Khatam Eye Hospital,Mashhad,Iran, Islamic Republic Of, 2Khatam Eye Hospital ,Mashhad,Iran, Islamic Republic Of

Purpose

To evaluate ocular findings in patients with Coronavirus Disease 2019 (COVID-19) in the Northeast of Iran

Setting/Venue

Khatam-al-Anbia Eye Hospital Mashhad University of Medical Sciences, Mashhad, Iran.

Methods

In a cross-sectional observational case series, patients with confirmed COVID-19 diagnosis who admitted to the Imam Reza Hospital, the central referral center of the COVID-19 patients in Mashhad, northeast of Iran were included. Ocular examination (external and slit) was randomly performed for the patients who admitted to the Intensive Care Unit (ICU) and six COVID wards of the hospital. Moreover, results of blood tests and presenting symptoms were collected.

Results

142 patients with mean age of 62.6±15 years(range: 23-96) as 54.2% male included in the study. During the initial external examination by the ophthalmologist, 44 patients had conjunctival hyperemia, 22 had chemosis and 3 had keratitis. Consecutive slit examination showed 41 conjunctival hyperemia, 22 chemosis, 11 cataract and 9 diabetic retinopathy. The patients with at least one ocular manifestation had higher urea levels at the time of admission in comparison with the patients who had no ophthalmologic complications (median: 41.5, IQR: 28-66.3 vs. median: 33, IQR: 23.8-51.8, P=0.023).

Conclusions

Ocular manifestation was observed in more than half of patients. Number of patients with at least one ocular manifestation was higher in ICU. While conjunctival hyperemia was the most prevalent ocular finding in all patients, chemosis was most common ocular manifestation in ICU admitted patients.