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Portable color retinography findings in COVID-19 patients admitted to the ward.
Cunha Filho, Antônio Augusto de Andrade; Pugliese Neto, Perseu Matheus; Pereira, Gabriela Hamra; de Lima Filho, Neuder Gouveia; Sakakisbara, Luis Antonio; Estofolete, Cássia Fernanda; Nogueira, Maurício Lacerda; de Mattos, Luiz Carlos; Brandão, Cinara Cássia.
Afiliação
  • Cunha Filho AAA; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil; Hospital de Base Regional Medical School Foundation (HB-FUNFARME), São José do Rio Preto, SP, Brazil.
  • Pugliese Neto PM; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil; Hospital de Base Regional Medical School Foundation (HB-FUNFARME), São José do Rio Preto, SP, Brazil.
  • Pereira GH; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil; Hospital de Base Regional Medical School Foundation (HB-FUNFARME), São José do Rio Preto, SP, Brazil.
  • de Lima Filho NG; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil; Hospital de Base Regional Medical School Foundation (HB-FUNFARME), São José do Rio Preto, SP, Brazil.
  • Sakakisbara LA; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil; Hospital de Base Regional Medical School Foundation (HB-FUNFARME), São José do Rio Preto, SP, Brazil.
  • Estofolete CF; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil; Hospital de Base Regional Medical School Foundation (HB-FUNFARME), São José do Rio Preto, SP, Brazil. Electronic address: cassiaestofolete@gmail.com.
  • Nogueira ML; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
  • de Mattos LC; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
  • Brandão CC; Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil. Electronic address: cinara.brandao@edu.famerp.br.
Photodiagnosis Photodyn Ther ; 45: 103965, 2024 Feb.
Article em En | MEDLINE | ID: mdl-38218571
ABSTRACT
Retinal lesions, including cotton-wool exudates, microbleeds, vascular occlusions and vasculitis, occur in a minority of Coronavirus Disease-19 (COVID-19) patients. Retinal assessments using retinography can help document these lesions. The objective of this work was to identify retinal changes in patients admitted to the ward with a positive Real Time Quantitative Polymerase Chain Reaction (RT-qPCR) exam for COVID-19. A cross-sectional, observational study was carried out of patients with mild and moderate symptoms admitted to the Hospital de Base in São José do Rio Preto. The Eyer® portable retinal camera (Phelcom® Technologies) was used to evaluate 30 male and 21 female patients. The ages ranged from 21 to 83 years (mean 47 years). Systemic arterial hypertension was identified in 21 (41.2 %) and diabetes mellitus in 12 (23.5 %) patients. Six (11.7 %) reported worsening visual acuity, however, none of these patients had ocular findings to justify this complaint. Ten patients (19.6 %) had intraretinal hemorrhages; one (1.9 %) had cotton-wool exudates and seven (13.7 %) had dilations of veins. Thirteen patients (25.4 %) had vascular tortuosity and six (11.7 %) had pathological arteriovenous crossings. Portable retinography is useful to evaluate patients admitted to isolation wards due to COVID-19. It is important to remember that some of the patients investigated had comorbidities like diabetic maculopathy and systemic arterial hypertension. Hence, some care should be taken in attributing these observations uniquely to COVID-19 infection.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fotoquimioterapia / COVID-19 / Hipertensão Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Photodiagnosis Photodyn Ther Assunto da revista: DIAGNOSTICO POR IMAGEM / TERAPEUTICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fotoquimioterapia / COVID-19 / Hipertensão Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Photodiagnosis Photodyn Ther Assunto da revista: DIAGNOSTICO POR IMAGEM / TERAPEUTICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda