Bolletta Elena, Iannetta Danilo, Mastrofilippo Valentina, De Simone Luca, Gozzi Fabrizio, Croci Stefania, Bonacini Martina, Belloni Lucia, Zerbini Alessandro, Adani Chantal, Fontana Luigi, Salvarani Carlo, Cimino Luca
Ocular Immunology Unit, Azienda USL-IRCCS, 42123 Reggio Emilia, Italy.
Ophthalmology Unit, Azienda USL-IRCCS, 42123 Reggio Emilia, Italy.
J Clin Med. 2021 Dec 19;10(24):5960. doi: 10.3390/jcm10245960.
Coronavirus disease 2019 (COVID-19) vaccines can cause transient local and systemic post-vaccination reactions. The aim of this study was to report uveitis and other ocular complications following COVID-19 vaccination. The study included 42 eyes of 34 patients (20 females, 14 males), with a mean age of 49.8 years (range 18-83 years). The cases reported were three herpetic keratitis, two anterior scleritis, five anterior uveitis (AU), three toxoplasma retinochoroiditis, two Vogt-Koyanagi-Harada (VKH) disease reactivations, two pars planitis, two retinal vasculitis, one bilateral panuveitis in new-onset Behçet's disease, three multiple evanescent white dot syndromes (MEWDS), one acute macular neuroretinopathy (AMN), five retinal vein occlusions (RVO), one non-arteritic ischemic optic neuropathy (NAION), three activations of quiescent choroidal neovascularization (CNV) secondary to myopia or uveitis, and one central serous chorioretinopathy (CSCR). Mean time between vaccination and ocular complication onset was 9.4 days (range 1-30 days). Twenty-three cases occurred after Pfizer-BioNTech vaccination (BNT162b2 mRNA), 7 after Oxford-AstraZeneca vaccine (ChAdOx1 nCoV-19), 3 after ModernaTX vaccination (mRNA-1273), and 1 after Janssen Johnson & Johnson vaccine (Ad26.COV2). Uveitis and other ocular complications may develop after the administration of COVID-19 vaccine.
2019冠状病毒病(COVID-19)疫苗可引起接种后的短暂局部和全身反应。本研究的目的是报告COVID-19疫苗接种后的葡萄膜炎及其他眼部并发症。该研究纳入了34例患者的42只眼(女性20例,男性14例),平均年龄49.8岁(范围18 - 83岁)。报告的病例有3例疱疹性角膜炎、2例前巩膜炎、5例前葡萄膜炎(AU)、3例弓形虫视网膜脉络膜炎、2例Vogt - 小柳 - 原田(VKH)病复发、2例周边性葡萄膜炎、2例视网膜血管炎、1例新发白塞病的双侧全葡萄膜炎、3例多发性一过性白点综合征(MEWDS)、1例急性黄斑神经视网膜病变(AMN)、5例视网膜静脉阻塞(RVO)、1例非动脉炎性缺血性视神经病变(NAION)、3例继发于近视或葡萄膜炎的静止性脉络膜新生血管(CNV)激活,以及1例中心性浆液性脉络膜视网膜病变(CSCR)。接种疫苗至眼部并发症发作的平均时间为9.4天(范围1 - 30天)。23例发生在辉瑞 - 生物新技术公司疫苗(BNT162b2 mRNA)接种后,7例在牛津 - 阿斯利康疫苗(ChAdOx1 nCoV - 19)接种后,3例在莫德纳公司疫苗(mRNA - 1273)接种后,1例在强生公司疫苗(Ad26.COV2)接种后。COVID-19疫苗接种后可能会出现葡萄膜炎及其他眼部并发症。