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European Archives of Psychiatry and Clinical Neuroscience
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All eyes on PCS: analysis of the retinal microvasculature in patients with post-COVID syndrome—study protocol of a 1 year prospective case–control study

Authors: Timon Kuchler; Renate Hausinger; Matthias C. Braunisch; Roman Günthner; Rebecca Wicklein; Benjamin Knier; Nathalie Bleidißel; +8 Authors

All eyes on PCS: analysis of the retinal microvasculature in patients with post-COVID syndrome—study protocol of a 1 year prospective case–control study

Abstract

Abstract Since widespread vaccination against COVID-19, the development of effective antiviral drugs, and the decreasing number of patients with COVID-19 in intensive care, the risk from SARS-CoV-2 infection appears less threatening. However, studies show that a significant number of patients suffer from long-term sequelae, even months after SARS-CoV-2 infection. The so-called post-COVID syndrome (PCS) often presents a diagnostic and treatment challenge for physicians. This study protocol describes the “All Eyes on PCS” study, which aims to investigate the retinal microvasculature in PCS patients and COVID-19-recovered patients to provide new insights into the pathophysiology of PCS. “All Eyes on PCS” is a prospective, case–control study with the primary objective of detecting endothelial dysfunction (ED) in patients with PCS. Therefore, we intend to recruit patients with PCS, fully SARS-CoV-2-infection-recovered (CR) participants, and SARS-CoV-2-infection-naïve (CN) participants. Baseline measurements will include: (1) patient-specific characteristics, (2) biochemistry, (3) retinal vessel analysis (RVA), (4) survey questionnaires as patient-reported outcomes measurements (PROMs), (5) optical coherence tomography (OCT), OCT angiography (OCTA), and adaptive optics (AO), (6) blood pressure recordings, (7) handgrip strength test. After 6 months, baseline measurements will be repeated in the PCS cohort, and after 1 year, a telephone query will be conducted to assess residual symptoms and treatment needs. The aim of this study is to gain insight into the pathophysiology of PCS and to provide an objective biomarker for diagnosis and treatment, while also creating a comprehensive clinical database of PCS patients. ClinicalTrials.gov Identifier: NCT05635552; Date: 2.12.2022.

Country
Germany
Keywords

Adult, Male, Original Paper, SARS-CoV-2, Retinal Vessels, COVID-19, Long-COVID, Middle Aged, Observational Studies as Topic, Post-Acute COVID-19 Syndrome, Research Design, Case-Control Studies, Microvessels, Humans, Female, Prospective Studies, Endothelial dysfunction, COVID-19 ; Tomography, Optical Coherence [MeSH] ; Post-Acute COVID-19 Syndrome [MeSH] ; COVID-19/complications [MeSH] ; Research Design [MeSH] ; Retinal Vessels/pathology [MeSH] ; Long-COVID ; Retinal Vessels/diagnostic imaging [MeSH] ; Microvessels/pathology [MeSH] ; Male [MeSH] ; COVID-19/physiopathology [MeSH] ; Retinal Vessels/physiopathology [MeSH] ; Case-Control Studies [MeSH] ; Observational Studies as Topic [MeSH] ; Retinal microvasculature ; SARS-CoV-2 ; Female [MeSH] ; Endothelial dysfunction ; Adult [MeSH] ; Humans [MeSH] ; Prospective Studies [MeSH] ; Microvessels/diagnostic imaging [MeSH] ; Microvessels/physiopathology [MeSH] ; Middle Aged [MeSH] ; Post-COVID syndrome ; Original Paper, Post-COVID syndrome, Retinal microvasculature, Tomography, Optical Coherence, Original Paper ; Post-COVID syndrome ; Long-COVID ; SARS-CoV-2 ; COVID-19 ; Endothelial dysfunction ; Retinal microvasculature ; Medical and Health Sciences, ddc: ddc:

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
hybrid