Did the COVID-19 Pandemic Increase the Incidence of Acute Macular Neuroretinopathy?

Background: Acute macular neuroretinopathy (AMN) is an increasingly diagnosed disorder associated with several diseases. The aim of this study was to report the incidence of AMN cases diagnosed during the 2020 coronavirus disease 2019 (COVID-19) pandemic year in a French hospital, and to describe th...

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Autores principales: Georges Azar, Sophie Bonnin, Vivien Vasseur, Céline Faure, Flore Salviat, Catherine Vignal Clermont, Cherif Titah, Selim Farès, Elise Boulanger, Sabine Derrien, Aude Couturier, Amélie Duvilliers, Anthony Manassero, Rabih Hage, Ramin Tadayoni, Francine Behar-Cohen, Martine Mauget-Faÿsse
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:a724e53c6d9f469ba587e68425a114d22021-11-11T17:39:33ZDid the COVID-19 Pandemic Increase the Incidence of Acute Macular Neuroretinopathy?10.3390/jcm102150382077-0383https://doaj.org/article/a724e53c6d9f469ba587e68425a114d22021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5038https://doaj.org/toc/2077-0383Background: Acute macular neuroretinopathy (AMN) is an increasingly diagnosed disorder associated with several diseases. The aim of this study was to report the incidence of AMN cases diagnosed during the 2020 coronavirus disease 2019 (COVID-19) pandemic year in a French hospital, and to describe their different forms. Methods: All patients diagnosed between 2019 and 2020, in Paris Rothschild Foundation Hospital, with AMN, paracentral acute middle maculopathy (PAMM) and multiple evanescent white dot syndrome (MEWDS) were retrospectively collected using the software Ophtalmoquery<sup>®</sup> (Corilus, V1.86.0018, 9050 Gand, Belgium). Systemic and ophthalmological data from AMN patients were analyzed. Results: Eleven patients were diagnosed with AMN in 2020 vs. only one patient reported in 2019. The incidence of AMN significantly increased from 0.66/100,000 visits in 2019 to 8.97/100,000 visits in 2020 (<i>p</i> = 0.001), whereas the incidence of PAMM and MEWDS remained unchanged. Four (36%) of these AMN patients were tested for COVID-19 and received positive polymerase chain reaction (PCR) tests. Conclusions: The incidence of AMN cases increased significantly in our institution in 2020, which was the year of the COVID-19 pandemic. All AMN-tested patients received a positive COVID PCR test, suggesting a possible causative link. According to the different clinical presentations, AMN may reflect different severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pathogenic mechanisms.Georges AzarSophie BonninVivien VasseurCéline FaureFlore SalviatCatherine Vignal ClermontCherif TitahSelim FarèsElise BoulangerSabine DerrienAude CouturierAmélie DuvilliersAnthony ManasseroRabih HageRamin TadayoniFrancine Behar-CohenMartine Mauget-FaÿsseMDPI AGarticleacute macular neuroretinopathyAMNCOVID-19SARS-CoV-2retinaOCT angiographyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5038, p 5038 (2021)
institution DOAJ
collection DOAJ
language EN
topic acute macular neuroretinopathy
AMN
COVID-19
SARS-CoV-2
retina
OCT angiography
Medicine
R
spellingShingle acute macular neuroretinopathy
AMN
COVID-19
SARS-CoV-2
retina
OCT angiography
Medicine
R
Georges Azar
Sophie Bonnin
Vivien Vasseur
Céline Faure
Flore Salviat
Catherine Vignal Clermont
Cherif Titah
Selim Farès
Elise Boulanger
Sabine Derrien
Aude Couturier
Amélie Duvilliers
Anthony Manassero
Rabih Hage
Ramin Tadayoni
Francine Behar-Cohen
Martine Mauget-Faÿsse
Did the COVID-19 Pandemic Increase the Incidence of Acute Macular Neuroretinopathy?
description Background: Acute macular neuroretinopathy (AMN) is an increasingly diagnosed disorder associated with several diseases. The aim of this study was to report the incidence of AMN cases diagnosed during the 2020 coronavirus disease 2019 (COVID-19) pandemic year in a French hospital, and to describe their different forms. Methods: All patients diagnosed between 2019 and 2020, in Paris Rothschild Foundation Hospital, with AMN, paracentral acute middle maculopathy (PAMM) and multiple evanescent white dot syndrome (MEWDS) were retrospectively collected using the software Ophtalmoquery<sup>®</sup> (Corilus, V1.86.0018, 9050 Gand, Belgium). Systemic and ophthalmological data from AMN patients were analyzed. Results: Eleven patients were diagnosed with AMN in 2020 vs. only one patient reported in 2019. The incidence of AMN significantly increased from 0.66/100,000 visits in 2019 to 8.97/100,000 visits in 2020 (<i>p</i> = 0.001), whereas the incidence of PAMM and MEWDS remained unchanged. Four (36%) of these AMN patients were tested for COVID-19 and received positive polymerase chain reaction (PCR) tests. Conclusions: The incidence of AMN cases increased significantly in our institution in 2020, which was the year of the COVID-19 pandemic. All AMN-tested patients received a positive COVID PCR test, suggesting a possible causative link. According to the different clinical presentations, AMN may reflect different severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pathogenic mechanisms.
format article
author Georges Azar
Sophie Bonnin
Vivien Vasseur
Céline Faure
Flore Salviat
Catherine Vignal Clermont
Cherif Titah
Selim Farès
Elise Boulanger
Sabine Derrien
Aude Couturier
Amélie Duvilliers
Anthony Manassero
Rabih Hage
Ramin Tadayoni
Francine Behar-Cohen
Martine Mauget-Faÿsse
author_facet Georges Azar
Sophie Bonnin
Vivien Vasseur
Céline Faure
Flore Salviat
Catherine Vignal Clermont
Cherif Titah
Selim Farès
Elise Boulanger
Sabine Derrien
Aude Couturier
Amélie Duvilliers
Anthony Manassero
Rabih Hage
Ramin Tadayoni
Francine Behar-Cohen
Martine Mauget-Faÿsse
author_sort Georges Azar
title Did the COVID-19 Pandemic Increase the Incidence of Acute Macular Neuroretinopathy?
title_short Did the COVID-19 Pandemic Increase the Incidence of Acute Macular Neuroretinopathy?
title_full Did the COVID-19 Pandemic Increase the Incidence of Acute Macular Neuroretinopathy?
title_fullStr Did the COVID-19 Pandemic Increase the Incidence of Acute Macular Neuroretinopathy?
title_full_unstemmed Did the COVID-19 Pandemic Increase the Incidence of Acute Macular Neuroretinopathy?
title_sort did the covid-19 pandemic increase the incidence of acute macular neuroretinopathy?
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a724e53c6d9f469ba587e68425a114d2
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