Evaluation of Changes in Optic Nerve Head and Macular Perfusion Before and After COVID-19 Onset - Summary - MDSpire

Evaluation of Changes in Optic Nerve Head and Macular Perfusion Before and After COVID-19 Onset

  • By

  • Seyfettin Erdem

  • Sedat Ava

  • Mehmet Emin Dursun

  • Mine Karahan

  • Leyla Hazar

  • Ugur Keklikci

  • February 28, 2026

  • 0 min

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Objective:

To evaluate optic nerve head and macular perfusion alterations before and after COVID-19 infection using optical coherence tomography angiography (OCTA), highlighting the clinical significance of these changes.

Key Findings:
  • Significant reductions in optic nerve head vessel density (ONH-VD) were observed in multiple areas post-COVID-19, indicating potential vascular damage.
  • Retinal peripapillary capillary vessel density (RPC-VD) decreased significantly across most sectors, suggesting compromised retinal health.
  • Macular vessel density (SCP-VD and DCP-VD) also showed significant reductions post-infection, raising concerns about long-term ocular health.
Interpretation:

The findings suggest that COVID-19 may lead to significant alterations in ocular microvasculature, indicating potential systemic vascular implications that warrant further investigation.

Limitations:
  • Small sample size of 20 participants limits generalizability.
  • Short follow-up period post-infection may not capture long-term changes, and potential biases in participant selection should be considered.
Conclusion:

COVID-19 infection is associated with significant reductions in optic nerve head and macular perfusion, highlighting the need for further research on the ocular effects of the virus and its long-term implications.

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