Multiprofessional Neurorehabilitation After COVID-19 Infection Should Include Assessment of Visual Function

Johansson, Jan; Levi, Richard; Jakobsson, Maria; Gunnarsson, Stina; Samuelsson, Kersti

doi:10.1016/j.arrct.2022.100184

Cited by 8 publications

(4 citation statements)

References 41 publications

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“…Research reports of visual sequelae after COVID-19 are still rare. However, our findings are in agreement with previous reports of problems such as headache, visual impairment, sensitivity to light and reading-related difficulties after COVID-19 ( 10 , 11 ). Almost half (49%) of subgroup patients reported at least 1 problem affecting everyday life from this domain, making visual assessment and subsequent intervention a relevant part of post-COVID-19 rehabilitation.…”

Section: Discussionsupporting

confidence: 94%

Seven Domains of Persisting Problems after Hospital-treated Covid-19 Indicate a Need For a Multiprofessional Rehabilitation Approach

Hellgren

Levi

Divanoglou

et al. 2022

JRM

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Objectives To identify domains of persisting problems at 4 months after discharge in patients previously hospitalized due to COVID-19, with focus on the subgroup of patients reporting symptoms to an extent indicative of rehabilitation needs. Design Ambidirectional observational cohort study. Patients All patients with a laboratory-confirmed COVID-19 diagnosis admitted to hospital in a Swedish healthcare region during 1/03-31/05, 2020. After exclusion, 94% of all survivors (n=433) participated in the study. Forty-three percent (n=185) of these reported persisting problems indicating rehabilitation needs and formed a subgroup. Methods Explorative factor analysis based on results from comprehensive telephone interviews covering persisting symptoms, including assessment of impact in daily life. Results Seven domains were identified comprising problems related to vision, cognition, mental fatigue, swallowing, voice, sensorimotor dysfunction and feeling anxious/depressed. The patients in the subgroup reported a median of 8 symptoms/limitations affecting everyday life, and two thirds reported symptoms/limitations in three or more domains. Conclusions Seven problem domains corresponding to specific modalities of rehabilitative interventions were identified. As a majority of patients reported problems from several domains, multiprofessional teams in post-COVID-19 rehabilitation is implicated. Screening of patients previously hospitalized due to COVID-19 should cover all seven domains.

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Section: Discussionsupporting

confidence: 94%

Seven Domains of Persisting Problems after Hospital-treated Covid-19 Indicate a Need For a Multiprofessional Rehabilitation Approach

Hellgren

Levi

Divanoglou

et al. 2022

JRM

Self Cite

View full text Add to dashboard Cite

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“…20%–25% of the cortex of the brain is involved in visual or oculomotor processing, 69 so unsurprisingly potential cognitive changes may present with ophthalmological symptoms or changes in oculomotor function. The most common visual symptoms reported in the post COVID period are blurry vision, difficulty with moving objects or tracking objects, difficulty with changes in light and difficulty reading 70 . On objective oculomotor testing the main findings are changes in near point convergence 70 and difficulty with directional control and reaction time on anti‐saccadic movements 71 .…”

Section: Long‐term Neurological Complications Of Covid‐19mentioning

confidence: 99%

“…The most common visual symptoms reported in the post COVID period are blurry vision, difficulty with moving objects or tracking objects, difficulty with changes in light and difficulty reading 70 . On objective oculomotor testing the main findings are changes in near point convergence 70 and difficulty with directional control and reaction time on anti‐saccadic movements 71 . An anti‐saccadic task is one in which the subject is asked to look to the opposite direction of a presented stimulus, requiring the brain to provide both an inhibitory and activating signal.…”

Section: Long‐term Neurological Complications Of Covid‐19mentioning

confidence: 99%

An eye to the future: Acute and long‐term neuro‐ophthalmological and neurological complications of COVID‐19

Wesselingh

2023

Clinical Exper Ophthalmology

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COVID‐19 has had a significant impact on the global population and has produced compelling evidence of non‐pulmonary organ dysfunction, including the nervous system. It is vital that specialists in ophthalmology and neurology are informed of the potential complications of COVID‐19 and gain a deeper understanding of how COVID‐19 can cause diseases of the nervous system. In this review we detail four possible mechanisms by which COVID‐19 infection may result in neurological or neuro‐ophthalmological complications: (1) Toxic and metabolic effects of severe pulmonary COVID‐19 disease on the neural axis including hypoxia and the systemic hyper‐inflammatory state, (2) endothelial dysfunction, (3) dysimmune responses directed again the neuroaxis, and (4) direct neuro‐invasion and injury by the virus itself. We explore the pathological evidence for each of these and how they may link to neuro‐ophthalmological disorders. Finally, we explore the evidence for long‐term neurological and neuro‐ophthalmological complications of COVID‐19, with a focus on neurodegeneration.

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“…Related to COVID-19 infection, there exists evidence of a rise in the disruption of the visual system [ 12 , 13 ]. Most of the common disruptions found are conjunctivitis, ocular pain, diplopia, visual impairment, eye dryness, red eyes, changes in the intraocular pressure (IOP), retinal changes, blurry vision, and light sensitivity [ 4 , 12 , 14 , 15 ]. On the other hand, there is evidence that when the infection of COVID-19 is accompanied by severe respiratory distress, it produces a significant impairment in certain cognitive processes, such as visual memory tasks, perception, and reasoning [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Long-Term Effects: Is There an Impact on the Simple Reaction Time and Alternative-Forced Choice on Recovered Patients?

et al. 2022

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A comparative single-evaluation cross-sectional study was performed to evaluate cognitive damage in post-COVID-19 patients. The psychophysics tests of Two-Alternative Forced Choice (2AFC) and Simple Reaction Time (SRT), under a designed virtual environment, were used to evaluate the cognitive processes of decision-making, visual attention, and information processing speed. The population under study consisted of 147 individuals, 38 controls, and 109 post-COVID patients. During the 2AFC test, an Emotiv EPOC+® headset was used to obtain EEG signals to evaluate their Focus, Interest, and Engagement metrics. Results indicate that compared to healthy patients or recovered patients from mild-moderate COVID-19 infection, patients who recovered from a severe-critical COVID infection showed a poor performance in different cognitive tests: decision-making tasks required higher visual sensitivity (p = 0.002), Focus (p = 0.01) and information processing speed (p < 0.001). These results signal that the damage caused by the coronavirus on the central nervous and visual systems significantly reduces the cognitive processes capabilities, resulting in a prevalent deficit of 42.42% in information processing speed for mild-moderate cases, 46.15% for decision-making based on visual sensitivity, and 62.16% in information processing speed for severe-critical cases. A psychological follow-up for patients recovering from COVID-19 is recommended based on our findings.

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Multiprofessional Neurorehabilitation After COVID-19 Infection Should Include Assessment of Visual Function

Cited by 8 publications

References 41 publications

Seven Domains of Persisting Problems after Hospital-treated Covid-19 Indicate a Need For a Multiprofessional Rehabilitation Approach

Seven Domains of Persisting Problems after Hospital-treated Covid-19 Indicate a Need For a Multiprofessional Rehabilitation Approach

An eye to the future: Acute and long‐term neuro‐ophthalmological and neurological complications of COVID‐19

COVID-19 Long-Term Effects: Is There an Impact on the Simple Reaction Time and Alternative-Forced Choice on Recovered Patients?

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