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Long-term retinal oximetry and OCT angiography in patients recovered from COVID-19.

Abstract
The aim of this study was to analyse retinal microvascular abnormalities in patients with various degrees of severity of the course of Coronavirus Disease 2019 (COVID-19), with a focus on patients requiring extracorporeal membrane oxygenation (ECMO) or mechanical ventilation (MV). We subclassified the patients after COVID-19 into 3 groups based on the severity of the disease and then performed standard ophthalmic examination, optical coherence tomography (OCT), macular OCT angiography (OCT-A) and retinal oximetry (RO). A total of 32 patients (21 men and 11 women; mean age of 51 years) were included in the study. Group 1 (mild COVID-19 course) included 11 patients, group 2 (moderate course) included 8 patients, and group 3 (severe course) included 13 patients which is particularly noteworthy. The median time after COVID-19 recovery was 22 months. No statistically significant difference between the groups was detected in any of the parameters of interest, suggesting resilience of retinal vasculature post-COVID-19. Patients after full recovery from severe COVID-19 do not show any significant decrease in oxygen saturation of retinal vessels 1.5 years (median) after the episode. Our data show that even a severe course of COVID-19 with ECMO or MV does not cause chronic microvascular changes in the retina.
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Keywords
Coronavirus disease 19, Extracorporeal membrane oxygenation, Mechanical ventilation, Optical coherence angiography, Oxymap, Retinal oximetry
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Attribution 4.0 International
Date
2025-10-29
Publisher
Nature Portfolio
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Journal
Scientific Reports
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DOI
10.1038/s41598-025-21794-w
Citation
Schreiberová, Z., Genzor, S., Mudroch, T., Šindelářová, B., Hübnerová, P., Malušková, M., Marešová, K., Šín, M., & Karhanová, M. (2025). Long-term retinal oximetry and OCT angiography in patients recovered from COVID-19. Scientific Reports, 15(1), 37851. https://doi.org/10.1038/s41598-025-21794-w
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