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[新型冠状病毒肺炎后双侧中心性浆液性脉络膜视网膜病变]

[Bilateral central serous chorioretinopathy post-COVID-19].

作者信息

Mahjoub A, Dlensi A, Romdhane A, Ben Abdesslem N, Mahjoub A, Bachraoui C, Mahjoub H, Ghorbel M, Knani L, Krifa F

机构信息

Service d'ophtalmologie, CHU Farhat Hached, Sousse, Tunisie.

Service d'ophtalmologie, CHU Farhat Hached, Sousse, Tunisie.

出版信息

J Fr Ophtalmol. 2021 Dec;44(10):1484-1490. doi: 10.1016/j.jfo.2021.10.001. Epub 2021 Oct 18.

Abstract

Coronavirus disease (COVID-19) can result in many ocular manifestations. We report a rare case of bilateral central serous chorioretinopathy post-infection with COVID-19 in a 38-year-old woman who presented with bilateral blurred vision 1 month after infection with COVID-19. She reported fever, cough, and shortness of breath and was COVID-PCR positive. During her 10-day hospital stay, she received oxygen, antibiotics, heparin and corticosteroids intravenously and then orally. After her recovery from COVID-19, the patient developed progressive visual loss in both eyes: her corrected visual acuity was 3/10 in both eyes, the anterior segment was normal, and the vitreous was clear. Fundus examination, optical coherence tomography and fluorescein angiography showed bilateral serous retinal detachments. Her course was characterized by improvement in visual acuity and regression of the retinal detachments. Central serous chorioretinopathy can occur after COVID-19 infection due to the administration of corticosteroids; thus, ophthalmologic examination is essential to detect ocular involvement as early as possible.

摘要

冠状病毒病(COVID-19)可导致多种眼部表现。我们报告了一例罕见的38岁女性COVID-19感染后双侧中心性浆液性脉络膜视网膜病变病例,该患者在感染COVID-19后1个月出现双侧视力模糊。她报告有发热、咳嗽和呼吸急促症状,COVID-PCR检测呈阳性。在她住院的10天里,她接受了静脉内然后口服的氧气、抗生素、肝素和皮质类固醇治疗。COVID-19康复后,患者双眼出现进行性视力丧失:双眼矫正视力均为3/10,眼前节正常,玻璃体清晰。眼底检查、光学相干断层扫描和荧光素血管造影显示双侧浆液性视网膜脱离。她的病程特点是视力改善和视网膜脱离消退。由于使用皮质类固醇,COVID-19感染后可发生中心性浆液性脉络膜视网膜病变;因此,眼科检查对于尽早发现眼部受累至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c12/8520853/c190cc222e94/gr1_lrg.jpg

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