AI Article Synopsis
- - The study analyzes 290 cases of retinal vein and artery occlusions linked to COVID-19 vaccines in France, with most cases arising from mRNA vaccines (68% for vein occlusions) and an average onset delay of about 11-17 days.
- - Nearly half of the patients with retinal vein occlusions had existing risk factors, primarily hypertension, and only a small number experienced positive rechallenges after the vaccine.
- - Overall, while a temporal association exists between vaccinations and retinal occlusions, many cases were influenced by pre-existing health conditions, suggesting that the benefits of vaccination still outweigh the risks, particularly for mRNA vaccines.
Article Abstract
Retinal vein occlusions and central retinal artery occlusions have been reported with coronavirus disease 2019 (COVID-19) vaccines. We aim to provide a descriptive analysis of cases reported in France until mid-2023, and recorded in the French pharmacovigilance database. An independent ophthalmologist reviewed all cases. We analyzed 290 cases (228 retinal vein occlusions, 58 central retinal artery occlusions, and four combinations). Retinal vein occlusions occurred with mRNA vaccines (68.0%) and adenovirus-vectored vaccines (32%), with an 11-day median onset delay. Almost half of the patients had retinal vein occlusion risk factors, mainly hypertension, and five had a positive rechallenge. Considering the lower adenovirus-vectored vaccines exposure in France, their proportion of retinal vein occlusions appears high. Among the 58 central retinal artery occlusion cases, most occurred with mRNA vaccines in patients with retinal artery occlusion risk factors (mainly hypertension), with a 17-day median onset delay. In conclusion, there was a temporal association in almost half of cases, but few cases with positive rechallenge, and many cases were confounded by risk factors (e.g., cardiovascular disorders, diabetes), which are also COVID-19 risk factors. Therefore, the risk of retinal vascular occlusion does not challenge the benefit-risk ratio of the vaccination, especially for mRNA vaccines.
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| http://dx.doi.org/10.1016/j.therap.2024.08.002 | DOI Listing |
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