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Savastano, Maria Cristina; Santoro, Luca; Crincoli, Emanuele; Fossataro, Claudia; Gambini, Gloria; Savastano, Alfonso; De Vico, Umberto; Santoliquido, Angelo; Nesci, Antonio; Landi, Francesco; Rizzo, Stanislao; On Behalf Of Gemelli Against Covid-Post-Acute Care Study Group
Vision (Basel), 05/2022, Letnik: 6, Številka: 2Journal Article
Endothelial cells damage and thromboinflammation are considered key elements in the generation of organ impairment in patients with COVID-19 disease. The endothelial function is evaluated by measuring flow-mediated dilation (FMD). We aimed to analyze the association between FMD impairment and retinal vascular parameters in early post-COVID-19 patients. 00118-00199Tomography (OCT), OCT Angiography (OCTA) and slit lamp examination were performed. FMD ≤ 7% was considered as pathological. Our primary outcome was to assess potential differences in the radial peripapillary capillary plexus flow index (RPCP-FI) and RPCP density (RPCP-D) values between post-COVID-19 patients with and without FMD impairment. The associations of other retinal vascular parameters with FMD impairment were assessed as secondary endpoints. FMD impairment was detected in 31 patients (37.8%). RPCP-FI ( = 0.047), age ( = 0.048) and prevalence of diabetes ( = 0.046) significantly differed in patients with FMD ≤ 7% in regression analysis. RPCP-FI was linearly correlated with FMD values (R = 0.244, =0.027). SCT was found to be lower in patients with impaired FMD ( = 0.004), although this difference was only a trend in binary logistic regression output ( = 0.07). Early post-COVID-19 patients showed a higher prevalence of FMD impairment compared to the general population. Age, diabetes and RPCP-FI were independently correlated with the presence of endothelial impairment in the early post-infective period.
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