Ullah Irfan, Sohail Aruba, Shah Mir Umer Farooq Alam, Khurshid Maman, Diwan Mufaddal Najmuddin, Qadir Abdul, Irfan Muhammad
Kabir Medical College, Gandhara University, Peshawar, 25000, Pakistan.
Dow University of Health Science, Karachi, Pakistan.
Ann Med Surg (Lond). 2021 Nov;71:102898. doi: 10.1016/j.amsu.2021.102898. Epub 2021 Oct 8.
This systematic review summarizes the evidence on patients diagnosed with central retinal vein occlusion (CRVO) secondary to COVID-19. We searched PubMed and Google Scholar from its inception till June 2021. From an initial 55 publications, 10 studies provided specific information on COVID-19 patients with CRVO. Studies described 10 patients, 60% were male and the mean age was 39.3 ± 11.6 years. Blurred vision (40%) and decreased vision (50%) were the most common presenting complain. Symptom onset ranged from 5 days to 6 weeks after initial complaint of fever. Laboratory results showed elevated inflammatory markers and D-dimers in 60% of patients included in our review. Common treatment options were intravitreal anti-VEGF injections, steroids, and anticoagulants. Traditional co-morbidities like diabetes mellites, hypertension, and morbid obesity (hyperlipidemia) were observed in only 3/10 patients. The prognosis was excellent as all patients saw improvement in their condition. Our findings highlight the importance of identifying CRVO as an important complication of COVID-19 infection. Thus, physicians should not overlook the likelihood of CRVO in patients with COVID-19 infection and offer prompt treatment.
本系统评价总结了关于新冠病毒肺炎继发中央视网膜静脉阻塞(CRVO)患者的证据。我们检索了自创立至2021年6月的PubMed和谷歌学术。从最初的55篇出版物中,10项研究提供了关于新冠病毒肺炎合并CRVO患者的具体信息。研究描述了10例患者,其中60%为男性,平均年龄为39.3±11.6岁。视力模糊(40%)和视力下降(50%)是最常见的主诉。症状出现时间为首次发热主诉后5天至6周。实验室结果显示,纳入我们评价的患者中有60%的炎症标志物和D-二聚体升高。常见的治疗选择是玻璃体内抗VEGF注射、类固醇和抗凝剂。仅在3/10的患者中观察到糖尿病、高血压和病态肥胖(高脂血症)等传统合并症。由于所有患者的病情均有改善,预后良好。我们的研究结果强调了将CRVO识别为新冠病毒肺炎感染重要并发症的重要性。因此,医生不应忽视新冠病毒肺炎感染患者发生CRVO的可能性,并应及时提供治疗。