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(post-COVID-19 眼表现于一位亚裔印度男性)

Post COVID-19 Ophthalmic Manifestations in an Asian Indian Male.

机构信息

Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, India.

Department of Retina, Narayana Nethralaya, Bangalore, India.

出版信息

Ocul Immunol Inflamm. 2021 May 19;29(4):656-661. doi: 10.1080/09273948.2020.1870147. Epub 2021 Mar 18.

Abstract

: 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.: To report post COVID-19 ophthalmic manifestations using multimodal imaging.: 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.: 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.

摘要

: 新冠肺炎(COVID-19)眼部表现包括结膜炎、结膜充血、水肿、溢泪、表层巩膜炎、视网膜表现包括棉絮斑(CWS)、微出血、视乳头炎和神经眼科表现。: 利用多模态成像报告 COVID-19 后的眼部表现。: 一位 66 岁的亚裔印度男性,在诊断 COVID-19 疾病 3 天后出现双眼视力模糊,右眼(RE)视力比左眼(LE)更差。他的右眼有前房炎症,伴有相对传入性瞳孔缺陷。右眼表现为中央视网膜动脉阻塞(CRAO),伴有 CWS、少量火焰状视网膜出血和视盘水肿及充血。左眼有视盘水肿及充血、少量火焰状视网膜出血、囊样变性和 CWS。诊断为右眼 CRAO 合并全葡萄膜炎和视乳头炎。: 我们的患者发生了血管阻塞伴全葡萄膜炎,这可能是 COVID-19 后免疫介导的事件。即使在康复后,也应警告患者可能出现眼部后遗症。

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