Harry Spoelstra

Harry Spoelstra

@harryspoelstra · Twitter ·

Effect of COVID-19 on Retinal and Choroidal Microvasculature in the Pediatric Population: A Literature Review 🚨UK Ophthalmology waking up? ➡️“Emerging evidence suggests that SARS-CoV-2 may lead to microcirculation alterations in the macular and the peripapillary capillary plexus in children.” ➡️“OCTA characteristics may represent potential biomarkers for the long-term effects of hypoxia on retinal and choroidal tissue in the context of COVID-19 and MIS-C.” ➡️“Currently available data are limited; therefore, further research is warranted to clarify the role of microvasculature alterations in the underlying pathophysiology of ocular manifestations associated with COVID-19 infection.” ‼️So, they’re finally starting to concede: SARSCoV2 can alter kids’ retinal and choroidal microvasculature after COVID-19 and MIS-C. Possible link to the virus’s systemic vascular damage and inflammation. But watch the goalposts move, they immediately bury it under “limited evidence,” “small studies,” “inconsistent findings,” and “OCTA is only a research tool, not a clinical biomarker.” Starting admission of harm to children… but with maximum reserve. More rigorous studies “needed” is of course for everyone a valid request! Let’s just repeat, protect children: #AvoidSars2 #AvoidReinfections while others catch up! https://www.mdpi.com/1648-9144/62/8/1603

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