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Ocular Immunology and Inflammation Volume 29, 2021 - Issue 4
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Research Article

COVID-19 Retinal Findings in Patients Admitted to Intensive Care Units and Wards

Paula M. Marinhoa São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, Brazil;b Department of Ophthalmology and Department of General Medicine -General Intensive Care, Hospital Municipal de Barueri Dr. Francisco Moran, Barueri, SP, Brazil;c Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilORCID Iconhttps://orcid.org/0000-0001-7904-4169View further author information
, MDORCID Icon,
Alléxya A. A. Marcosa São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, Brazil;c Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilView further author information
, MD,
Ana M. C. Brancoa São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, BrazilView further author information
, MD,
André C. Romanoa São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, Brazil;c Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilView further author information
, MD,
Victoria Sakamotoa São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, BrazilView further author information
, MD,
Mateus L. Matuokab Department of Ophthalmology and Department of General Medicine -General Intensive Care, Hospital Municipal de Barueri Dr. Francisco Moran, Barueri, SP, Brazil;c Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilView further author information
, MD,
Nara F. Moraesb Department of Ophthalmology and Department of General Medicine -General Intensive Care, Hospital Municipal de Barueri Dr. Francisco Moran, Barueri, SP, BrazilView further author information
, MD,
Alexandre Roqueb Department of Ophthalmology and Department of General Medicine -General Intensive Care, Hospital Municipal de Barueri Dr. Francisco Moran, Barueri, SP, BrazilView further author information
, MD,
Paulo F. G. M. M. Tiernob Department of Ophthalmology and Department of General Medicine -General Intensive Care, Hospital Municipal de Barueri Dr. Francisco Moran, Barueri, SP, BrazilView further author information
, MD,
Paulo R. A. Ferreiraa São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, BrazilView further author information
, MD, PhD,
Walid M. Mouradc Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilView further author information
,
Paulo Schora São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, Brazil;c Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilView further author information
, MD, PhD,
Michel Faraha São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, Brazil;c Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilView further author information
, MD, PhD,
Richard B. Rosend Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USAView further author information
, MD,
Rubens Belfort Jra São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, Brazil;c Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilORCID Iconhttps://orcid.org/0000-0002-8422-3898View further author information
, MD, PhDORCID Icon &
Heloisa Moraes Do Nascimentoa São Paulo Hospital, Paulista School of Medicine, Federal University of São Paulo, Sao Paulo, Brazil;b Department of Ophthalmology and Department of General Medicine -General Intensive Care, Hospital Municipal de Barueri Dr. Francisco Moran, Barueri, SP, Brazil;c Research Department, Instituto da Visão – IPEPO, São Paulo, SP, BrazilCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0003-0315-1317View further author information
, MD, PhDORCID Icon show all
Pages 705-708 | Received 08 Dec 2020, Accepted 29 Mar 2021, Published online: 12 May 2021
 
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ABSTRACT

The main purpose of this study was to investigate ocular clinical findings in patients with confirmed COVID-19 infection, of various levels of disease severity, who required mechanical ventilation and admission to intensive care units or specialized wards. Longitudinal, observational study conducted from March 2020 to June 2020. Color fundus and red-free photography were performed in both eyes following pupillary dilation. 104 participants were recruited from 2 different centers: 60 (58%) from the Hospital Municipal de Barueri intensive care unit (ICU) and 44 (42%) from specialized wards for patients with COVID-19 at the Hospital São Paulo. 21.9% presented with eye lesions, in 3% these lesions were vision compromising. Our results have shown similar rate of intraocular lesions in patients in both the ward or intensive care unit, regardless of medication use, including anticoagulant drugs.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Additional information

Funding

Vision Institute, CNPq, FINEP, CAPESConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) [403482/2020-8].

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