1. Post COVID-19 Ophthalmic Manifestations in an Asian Indian Male.
- Author
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Sanjay S, Srinivasan P, Jayadev C, Mahendradas P, Gupta A, Kawali A, and Shetty R
- Subjects
- Aged, COVID-19 ethnology, Eye Infections, Viral diagnosis, Eye Infections, Viral virology, Fundus Oculi, Humans, India epidemiology, Male, Optic Neuritis diagnosis, Optic Neuritis virology, Panuveitis diagnosis, Panuveitis virology, Tomography, Optical Coherence methods, Asian People, COVID-19 complications, Eye Infections, Viral etiology, Fluorescein Angiography methods, Optic Disk pathology, Optic Neuritis etiology, Panuveitis etiology, RNA, Viral analysis, SARS-CoV-2 genetics
- Abstract
Introduction : The Ocular manifestations of coronavirus disease 2019 (COVID-19) reported include conjunctivitis, conjunctival hyperemia, chemosis, epiphora, episcleritis, retinal manifestations included cotton wool spots (CWS), micro-hemorrhages, papillophlebitis and neuro-ophthalmic manifestations. Purpose : To report post COVID-19 ophthalmic manifestations using multimodal imaging. Results : A 66-year-old Asian Indian male presented to us with bilateral blurring of vision, RE>LE, of 3 days following a diagnosis of COVID-19 disease. Corrected distance visual acuity were 20/2666 and 20/25 in the right (RE) and left (LE) eyes respectively. He had bilateral anterior chamber inflammation with a relative afferent pupillary defect in the RE. RE showed central retinal artery occlusion(CRAO) with CWS, few flame-shaped retinal hemorrhages and disc edema and hyperemia. LE had disc edema and hyperemia, few flame-shaped retinal hemorrhages, cystoid changes and CWS. A diagnosis of bilateral panuveitis and papillitis with CRAO in the RE was made. Conclusion : Our patient developed a vascular occlusion with panuveitis, which possibly represents an immune mediated event following COVID-19. Patients should be warned about possible ophthalmic sequelae even after recovery.
- Published
- 2021
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