Department of Ophthalmology, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India.
Indian J Ophthalmol. 2021 Apr;69(4):992-994. doi: 10.4103/ijo.IJO_3321_20.
COVID-19 is a respiratory virus, which has affected various organ systems as well. Here we report a neuro-ophthalmic presentation of pituitary apoplexy under the setting of COVID-19 infection in a middle-aged man who presented to ophthalmic emergency with sudden bilateral loss of vision along with a history of fever past 10 days. There was sluggishly reacting pupils and RT-PCR for COVID was positive. Imaging pointed the diagnosis as pituitary macroadenoma with apopexy. In view of pandemic situation, patient was given symptomatic treatment as per the protocols and stabilized. Vision also showed improvement to some extent and the patient is awaiting neurosurgery.
COVID-19 是一种呼吸道病毒,它也会影响到各个器官系统。在这里,我们报告了一例中年男性在 COVID-19 感染背景下发生的垂体卒中的神经眼科表现,该患者因突发双侧视力丧失而就诊于眼科急诊,同时伴有 10 天发热史。患者瞳孔反应迟钝,COVID-19 的 RT-PCR 检测结果为阳性。影像学检查提示诊断为垂体大腺瘤伴卒中。鉴于大流行情况,根据协议给予患者对症治疗并使病情稳定。患者的视力也有所改善,正在等待神经外科治疗。