Sanjay Srinivasan, Gowda Poornachandra B, Rao Bhimasena, Mutalik Deepashri, Mahendradas Padmamalini, Kawali Ankush, Shetty Rohit
Department of Uvea and Ocular Immunology, 121/C, Chord Road, Narayana Nethralaya, Bangalore, India.
Department of Retina, 121/C, Chord Road, Narayana Nethralaya, Bangalore, India.
J Ophthalmic Inflamm Infect. 2021 May 14;11(1):14. doi: 10.1186/s12348-021-00244-4.
Corona virus disease (COVID-19) pandemic can cause myriad of ocular manifestations. We report a case of unilateral multi focal central serous retinopathy, post COVID-19 infection in an Asian Indian female.
A 42-year-old female presented to us with unilateral blurring, in the right eye (OD), 12 days after COVID-19 infection. She had fever, chills, shortness of breath and cough with tiredness and was COVID- RT PCR positive. She was administered intravenous and oral antibiotics with injection heparin/remdesivir, during her 7 day stay at the hospital. She was also on steroid inhalers. She had no systemic history of note. On ocular evaluation, her corrected distance visual acuity was 20/40 in OD and 20/20 in left eye (OS). Anterior segment was normal. Anterior vitreous was clear. Fundus examination of the OD showed central serous retinopathy (CSCR) with OS being normal.
CSCR can occur post COVID-19 due to steroid administration and physicians administering it should be aware of this and refer the patients to an ophthalmologist earlier.
冠状病毒病（COVID-19）大流行可导致多种眼部表现。我们报告一例亚洲印度女性在感染COVID-19后出现单侧多灶性中心性浆液性视网膜病变的病例。
一名42岁女性在感染COVID-19后12天因右眼（OD）单侧视力模糊前来就诊。她有发热、寒战、呼吸急促、咳嗽伴乏力，COVID-RT PCR检测呈阳性。在医院住院7天期间，她接受了静脉和口服抗生素治疗，并注射了肝素/瑞德西韦。她还使用了类固醇吸入器。她没有值得注意的全身病史。眼部检查时，她的右眼矫正远视力为20/40，左眼（OS）为20/20。眼前节正常。前部玻璃体清晰。右眼眼底检查显示中心性浆液性视网膜病变（CSCR），左眼正常。
COVID-19后因使用类固醇可发生CSCR，使用类固醇的医生应意识到这一点，并尽早将患者转诊给眼科医生。
