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2020 ; 258
(9
): 1959-1963
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Ocular manifestations of coronavirus disease 2019
#MMPMID32504100
Bostanci Ceran B
; Ozates S
Graefes Arch Clin Exp Ophthalmol
2020[Sep]; 258
(9
): 1959-1963
PMID32504100
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PURPOSE: Coronavirus disease 2019 (COVID-19) is an ongoing global public health
problem, and most of the COVID-19 research is focused mainly on the respiratory
system because of life-threatening results. However, manifestations in other
organs should not be ignored since they can also be a mode of transmission. We
sought to describe the ocular manifestations of COVID-19 and investigate the
association between ocular involvement and clinical presentation and laboratory
outcomes. METHODS: This cross-sectional study was conducted between March 1,
2020, and April 30, 2020. Ninety-three sequentially hospitalized and clinically
confirmed COVID-19 patients were included in the study. The systemic and ocular
symptoms, clinical findings, and laboratory outcomes were recorded. RESULTS: Of
the 93 COVID-19 patients, 54 (58.1%) were male, and 39 (41.9%) were female. Mean
age of the patients was 39.4 ± 21.9 (min 7, max 88) years. Twenty patients (n
21.5%) had at least one ocular abnormality. Most common findings included
hyperemia (n = 20), epiphora (n = 9), increased secretion (n = 6), chemosis (n =
3), follicular conjunctivitis (n = 2), and episcleritis (n = 2). The most common
symptom was photophobia (n 15). Patients with ocular involvement were more likely
to have higher neutrophil counts (p = 0.001), and increased CRP (p < 0.001), PCT
(p = 0.001), and ESR levels (p < 0.001). Mean lymphocyte count was statistically
lower in patients with ocular manifestations (p = 0.001). Mean age and number of
patients with fever over 37.3 °C in the ocular involvement group was found to be
higher (p < 0.001, p = 0.006, respectively). CONCLUSION: Older age, high fever,
increased neutrophil/lymphocyte ratio, and high levels of acute phase reactants
seemed to be risk factors for ocular involvement.
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