The risk assessment of uveitis after COVID-19 diagnosis: A multicenter population-based study

J Med Virol. 2023 Oct;95(10):e29188. doi: 10.1002/jmv.29188.

Abstract

Reports on uveitis after COVID-19 have been limited. Our objective was to examine the risk of uveitis among COVID-19 patients. This was a retrospective cohort study based on the TriNetX platform. The exposure group was patients with positive laboratory test result for SARS-CoV-2 and the comparison group was those tested negative for COVID-19 throughout the study period. The endpoint is the new diagnoses of uveitis. This study composed of 2 105 424 patients diagnosed with COVID-19 (55.4% female; 62.5% white; mean age at index 40.7 years) and 2 105 424 patients (55.4% female; 62.4% white; mean age at index 40.7 years) who never had COVID-19. There was significantly increased risk of new diagnosis of uveitis since the first month after diagnosis of COVID-19 compared with matched controls (HR: 1.18, 95% CI: 1.03-1.34) up to 24 months (HR: 1.16, 95% CI: 1.09-1.22). Our findings strengthen those previously raised by case series with a larger and multicenter study. We found that uveitis was significantly associated with COVID-19 infection. Our findings reiterate the need for careful investigation as well as increased awareness from ophthalmologists in considering the possibility of COVID-19 in vulnerable patients with new presentation of uveitis.

Keywords: COVID-19; TriNetX; cohort; inflammation; uveitis.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • COVID-19* / complications
  • COVID-19* / diagnosis
  • Female
  • Humans
  • Male
  • Retrospective Studies
  • Risk Assessment
  • SARS-CoV-2
  • Uveitis* / diagnosis
  • Uveitis* / epidemiology
  • Uveitis* / etiology