Evidence map›Paper›PMID 40790570›Full record

ArticleBMC ophthalmology2025

Quantitative comparison of mean macular thickness in COVID-19 patients versus healthy individuals using optical coherence tomography.

Nagilton Bou Ghosn, Marcos Balbino, Ana Carolina Pasquini Raiza, Camila Sayuri Vicentini Otani, Victoria Moreira Fernandes, Vitor Kazuo Lotto Takahashi, Beatriz Silveira Seixas, Laura Vanalli Guimarães, Luiz Paulo Dias Mario, Regina Cele Silveira Seixas

Abstract readComparative Study
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nagilton Bou GhosnGrupo OPTY - HCLOE Oftalmologia Especializada, São Paulo, Brazil.
Marcos BalbinoCentro Universitário São Camilo, Rua Cipriano Barata, 1869- ap. 93, São Paulo, SP, Brazil. marcosbalbino@mac.com.
Ana Carolina Pasquini RaizaGrupo OPTY - HCLOE Oftalmologia Especializada, São Paulo, Brazil.
Camila Sayuri Vicentini OtaniGrupo OPTY - HCLOE Oftalmologia Especializada, São Paulo, Brazil.
Victoria Moreira FernandesMedical Sciences of Minas Gerais Eye Institute (IOCM-MG), Belo Horizonte, MG, Brazil.
Vitor Kazuo Lotto TakahashiGrupo OPTY - HCLOE Oftalmologia Especializada, São Paulo, Brazil.
Beatriz Silveira SeixasUniversidade de Santo Amaro, UNISA, São Paulo, Brazil.
Laura Vanalli GuimarãesUniversidade de Santo Amaro, UNISA, São Paulo, Brazil.
Luiz Paulo Dias MarioUniversidade de Santo Amaro, UNISA, São Paulo, Brazil.
Regina Cele Silveira SeixasGrupo OPTY - HCLOE Oftalmologia Especializada, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-CoV-2 is associated with systemic inflammation, vascular dysfunction, and potential ocular involvement. While structural retinal changes have been observed in some patients, the long-term impact of COVID-19 on macular architecture remains unclear, §particularly in unvaccinated populations.

objectiveTo evaluate differences in central macular thickness (CMT) between post-COVID-19 patients and healthy individuals using optical coherence tomography (OCT), with age-stratified analysis.

designA prospective case-control study conducted at a specialized ophthalmology center in Brazil during the early vaccination phase. A total of 76 unvaccinated participants were included: 29 patients with prior COVID-19 (58 eyes) and 47 healthy controls (94 eyes). OCT was performed at least 14 days after PCR-confirmed infection.

resultsThe overall mean CMT was 246.93 ± 23.30 μm. No significant difference was found between the COVID-19 and control groups (242.54 ± 19.76 μm vs. 249.63 ± 25.06 μm; p = 0.10). However, among participants aged ≥ 42 years, post-COVID-19 patients had significantly lower CMT compared to age-matched controls (241.00 ± 21.90 μm vs. 256.85 ± 28.58 μm; p = 0.04). No significant difference was observed in the < 42 years group. OCT angiography revealed no qualitative vascular abnormalities in either group.

conclusionOur findings suggest that SARS-CoV-2 infection may be associated with subtle retinal thinning in older adults, even in the absence of acute symptoms or visual complaints. These results highlight the importance of age-stratified analysis and support further investigation into the long-term ocular effects of COVID-19.

Indexed as

COVID-19Macula LuteaSARS-CoV-2Tomography, Optical CoherenceAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeProspective StudiesAge stratificationCOVID-19Macular thicknessOCTAOptical coherence tomographyRetinaRetinal imagingRetinal inflammationSARS-CoV-2Vascular retina changes

Identifiers

PMID40790570
PMCPMC12337369

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.