Ocular manifestations in acute COVID-19 patients with severe or extremely severe course of disease

Purpose:  to study ocular manifestations in acute COVID-19 patients with severe or extremely severe course.   Materials and methods. 112 patients with severe and extremely severe course ofCOVID-19 treated in the 2nd Zangiota specialized clinic for Covid patients underwent an ophthalmic examination. ...

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Main Authors: T. N. Savranova, V. U. Rozukulov, A. F. Yusupov, S. S. Saidzhanov
Format: Article
Language:Russian
Published: Real Time Ltd 2022-07-01
Series:Российский офтальмологический журнал
Subjects:
Online Access:https://roj.igb.ru/jour/article/view/999
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author T. N. Savranova
V. U. Rozukulov
A. F. Yusupov
S. S. Saidzhanov
author_facet T. N. Savranova
V. U. Rozukulov
A. F. Yusupov
S. S. Saidzhanov
author_sort T. N. Savranova
collection DOAJ
description Purpose:  to study ocular manifestations in acute COVID-19 patients with severe or extremely severe course.   Materials and methods. 112 patients with severe and extremely severe course ofCOVID-19 treated in the 2nd Zangiota specialized clinic for Covid patients underwent an ophthalmic examination.   Results. Hyperemia of palpebral edges was found in 20 patients (17.8 %), tarsal conjunctiva hyperemia was found in 54 patients (48.2 %), whereas 11 patients (9.8 %) had symptoms of eyeball conjunctiva hyperemia. 27 patients (24.1 %), complained of pain in the projection of external muscle tendons attachments during eyeball palpitation. Retinal angiopathy of varied genesis were found in 57 patients (50.9 %). Blurred edges of the optic nerve and smoothness of physiological excavation were observed in 11 patients (9.8 %). We were able to trace the medical history of 25patents over two months after the discharge. Ofthese, 17 patients (68 %) visited an ophthalmologist and were diagnosed with dry eye syndrome, and 1 patient was diagnosed with uveitis. 4 patients complained of blurred vision, disorientation and memory loss. 1 patient was found to have episcleritis. 3 patients (12%) complained of a dramatic decrease of vision in one eye, ptosis, swollen eyelid and exophthalmos. They were diagnosed with thrombosis of the cavernous sinus and superior orbital fissure syndrome.   Conclusion. The main ophthalmic symptoms of the anterior segment of the eye in patients in the acute stage of COVID-19 with severe and extremely severe courses were manifestations of dry eye syndrome, short-term manifestation of tenonitis of oculomotor muscles. In 50 % cases, angiopathy of the anterior and the posterior segments of the eyeball were observed. Severe manifestations of general coagulopathy and angiopathy developing superior orbitalfissure syndrome were observed in 12 patients within weeks after the patient's dischargefrom the clinic.
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spelling doaj.art-336e2857b46e4a7b994b915300ba35372023-03-13T07:54:32ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602022-07-01152929810.21516/2072-0076-2022-15-2-92-98477Ocular manifestations in acute COVID-19 patients with severe or extremely severe course of diseaseT. N. Savranova0V. U. Rozukulov1A. F. Yusupov2S. S. Saidzhanov3Республиканский специализированный научно-практический медицинский центр микрохирургии глазаРеспубликанский специализированный научно-практический медицинский центр микрохирургии глазаРеспубликанский специализированный научно-практический медицинский центр микрохирургии глазаРеспубликанский специализированный научно-практический медицинский центр микрохирургии глазаPurpose:  to study ocular manifestations in acute COVID-19 patients with severe or extremely severe course.   Materials and methods. 112 patients with severe and extremely severe course ofCOVID-19 treated in the 2nd Zangiota specialized clinic for Covid patients underwent an ophthalmic examination.   Results. Hyperemia of palpebral edges was found in 20 patients (17.8 %), tarsal conjunctiva hyperemia was found in 54 patients (48.2 %), whereas 11 patients (9.8 %) had symptoms of eyeball conjunctiva hyperemia. 27 patients (24.1 %), complained of pain in the projection of external muscle tendons attachments during eyeball palpitation. Retinal angiopathy of varied genesis were found in 57 patients (50.9 %). Blurred edges of the optic nerve and smoothness of physiological excavation were observed in 11 patients (9.8 %). We were able to trace the medical history of 25patents over two months after the discharge. Ofthese, 17 patients (68 %) visited an ophthalmologist and were diagnosed with dry eye syndrome, and 1 patient was diagnosed with uveitis. 4 patients complained of blurred vision, disorientation and memory loss. 1 patient was found to have episcleritis. 3 patients (12%) complained of a dramatic decrease of vision in one eye, ptosis, swollen eyelid and exophthalmos. They were diagnosed with thrombosis of the cavernous sinus and superior orbital fissure syndrome.   Conclusion. The main ophthalmic symptoms of the anterior segment of the eye in patients in the acute stage of COVID-19 with severe and extremely severe courses were manifestations of dry eye syndrome, short-term manifestation of tenonitis of oculomotor muscles. In 50 % cases, angiopathy of the anterior and the posterior segments of the eyeball were observed. Severe manifestations of general coagulopathy and angiopathy developing superior orbitalfissure syndrome were observed in 12 patients within weeks after the patient's dischargefrom the clinic.https://roj.igb.ru/jour/article/view/999sars-cov-2covid-19глазные проявлениясиндром сухого глазасиндром верхней глазничной щели
spellingShingle T. N. Savranova
V. U. Rozukulov
A. F. Yusupov
S. S. Saidzhanov
Ocular manifestations in acute COVID-19 patients with severe or extremely severe course of disease
Российский офтальмологический журнал
sars-cov-2
covid-19
глазные проявления
синдром сухого глаза
синдром верхней глазничной щели
title Ocular manifestations in acute COVID-19 patients with severe or extremely severe course of disease
title_full Ocular manifestations in acute COVID-19 patients with severe or extremely severe course of disease
title_fullStr Ocular manifestations in acute COVID-19 patients with severe or extremely severe course of disease
title_full_unstemmed Ocular manifestations in acute COVID-19 patients with severe or extremely severe course of disease
title_short Ocular manifestations in acute COVID-19 patients with severe or extremely severe course of disease
title_sort ocular manifestations in acute covid 19 patients with severe or extremely severe course of disease
topic sars-cov-2
covid-19
глазные проявления
синдром сухого глаза
синдром верхней глазничной щели
url https://roj.igb.ru/jour/article/view/999
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AT afyusupov ocularmanifestationsinacutecovid19patientswithsevereorextremelyseverecourseofdisease
AT sssaidzhanov ocularmanifestationsinacutecovid19patientswithsevereorextremelyseverecourseofdisease