Journal of Multidisciplinary Healthcare (Jul 2021)

Ocular Manifestations of Post-Acute COVID-19 Syndrome, Upper Egypt Early Report

  • Tohamy D,
  • Sharaf M,
  • Abdelazeem K,
  • Saleh MGA,
  • Rateb MF,
  • Soliman W,
  • Kedwany SM,
  • Omar Abdelmalek M,
  • Medhat MA,
  • Tohamy AM,
  • Mahmoud H

Journal volume & issue
Vol. Volume 14
pp. 1935 – 1944

Abstract

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Dalia Tohamy,1 Mohamed Sharaf,1 Khaled Abdelazeem,1 Mohamed GA Saleh,1 Mahmoud F Rateb,1 Wael Soliman,1 Salma M Kedwany,1 Mohamed Omar Abdelmalek,2 Mohammed A Medhat,2 Amal M Tohamy,3 Hany Mahmoud4 1Ophthalmology Department, Assiut University, Assiut, Egypt; 2Tropical Medicine and Gastroenterology Department, Assiut University, Assiut, Egypt; 3Neuology Department, Assiut University, Assiut, Egypt; 4Ophthalmology Department, Sohag University, Sohag, EgyptCorrespondence: Hany MahmoudOphthalmology Department, Sohag University, Almohafza Street, Sohag, 82511, EgyptTel +20 1024368111Email [email protected]: To evaluate the ocular manifestations of post-acute COVID-19 syndrome.Methods: A retrospective, comparative study included 100 patients who had recovered from COVID-19 and 100 controls who were recruited by stratified randomization from hospital registration system and analyzed regarding history, full ophthalmological examination, general examination including internal medicine and neurological evaluation. Laboratory tests were done.Results: Mean±SD of age were 55.5 ± 6.2 in COVID group vs 56.5 ± 5.8 in control group; P value = 0.7. In COVID group, 57 patients (57%) were males vs 51 patients (51%) in control group (P value = 0.39), the other compared parameters including history and risk factors showed non-significant difference except for ESR and D-dimer which were elevated in COVID group. In COVID group, 5 patients (5%) were having retinal vascular occlusion, 2 patients (2%) were having anterior ischemic optic neuropathy AION, 3 patients (3%) were having uveitis and 2 patients (2%) were having central serous chorioretinopathy CSCR. While in control group, 2 patients (2%) were having retinal vascular occlusion, and none had AION, uveitis or CSCR (P value = 0.006).Conclusion: Post-acute COVID-19 syndrome could affect the eyes in the form of coagulation problems, neurological morbidities, and other manifestations. This necessitates meticulous follow-up of recovered patients from COVID-19.Keywords: eye, post-acute COVID-19, Upper Egypt, coagulation, follow-up

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