Yepez Juan B, Murati Felipe A, Petitto Michele, De Yepez Jazmin, Galue Jose M, Revilla Julio, Petitto Alfonso, Vinardell Susana, Arevalo J Fernando
Vitreoretinal Surgery Department, Clinica de Ojos, Maracaibo, Venezuela.
Glaucoma Department, Clinica de Ojos, Maracaibo, Venezuela.
Case Rep Ophthalmol. 2021 Sep 21;12(3):804-808. doi: 10.1159/000518834. eCollection 2021 Sep-Dec.
A 29-year-old female presented to the emergency clinic with gradual visual disturbance in both eyes for 15 days duration, accompanied by bilateral tinnitus, and ocular pain that increased with ocular movements. One month prior to presentation, the patient had tested positive for severe acute respiratory syndrome coronavirus-2 but without complications. Visual acuity was 20/100 in the right eye and 20/300 in the left eye. Funduscopy demonstrated optic nerve swelling, radial nerve fiber striation disruption, and bilateral retinal folds. Optical coherence tomography showed serous (bacillary) retinal detachment and multifocal areas of hyper-reflective changes in the inner and outer plexiform layer with inner nuclear layer thickening and disruption of the interdigitation zone bilaterally. We present a case of incomplete Vogt-Koyanagi-Harada disease following COVID-19 infection.
一名29岁女性因双眼逐渐出现视力障碍15天就诊于急诊诊所,伴有双侧耳鸣,以及眼球运动时加重的眼痛。就诊前一个月,该患者严重急性呼吸综合征冠状病毒2检测呈阳性,但无并发症。右眼视力为20/100,左眼视力为20/300。眼底检查显示视神经肿胀、放射状神经纤维条纹中断以及双侧视网膜褶皱。光学相干断层扫描显示浆液性(杆菌性)视网膜脱离,内外丛状层多灶性高反射改变,内核层增厚,双侧指状交叉区中断。我们报告一例新冠病毒感染后不完全型伏格特-小柳-原田病病例。