Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, India.
Department of Retina, Narayana Nethralaya, Bangalore, India.
Ocul Immunol Inflamm. 2021 May 19;29(4):656-661. doi: 10.1080/09273948.2020.1870147. Epub 2021 Mar 18.
: 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.
: 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。