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Choroidal Microvascular Alterations in COVID-19 Patients. | LitMetric

AI Article Synopsis

  • The study aimed to assess changes in the choroid's blood vessel structure in COVID-19 patients using Optical Coherence Tomography (OCT).
  • It involved a comparison between 56 COVID-19 patients and 61 healthy individuals, measuring choroidal thickness (CT) and vascularity index (CVI) using specialized software.
  • Results showed that COVID-19 patients had thicker choroidal layers but lower vascularity, suggesting inflammation may cause swelling and increased fluid in the choroid.

Article Abstract

Objective: To evaluate alterations in the choroidal angioarchitecture of COVID-19 patients using optical Coherence Tomography (OCT) based surrogate markers.

Methods: This prospective case-control study recruited 56 COVID-19 patients (111 eyes) and 61 healthy individuals (120 eyes). Choroidal thickness (CT) and Choroidal vascularity index (CVI) were derived from OCT images using a purpose-built automated software for choroidal image segmentation. A linear mixed model with age and gender as covariates was employed to compare CVI and CT between groups.

Results: COVID-19 patients had significantly higher subfoveal (81.3um vs 86.8um, p = .02), temporal (78.8um vs 84.3um, p = .005), nasal (87.5um vs 95.1um, p = .001) and average CT (82.5um vs 88.7um, p = .001). COVID-19 patients had significantly lower subfoveal (64.0 vs 63.5, p = .02) and average CVI (63.5 vs 63.1, p = .02).

Conclusion: COVID-19 results in significantly thicker choroid with reduced relative vascularity. This may be attributable to increased vascular permeability secondary to inflammation, resulting in choroidal stromal edema.

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Source
http://dx.doi.org/10.1080/09273948.2022.2062387DOI Listing

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