O'Donovan Charles, Vyas Neel, Ghanchi Faruque
Department of Ophthalmology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Department of Medicine, University of Leeds Medical School, Leeds, United Kingdom.
Ocul Immunol Inflamm. 2023 Apr;31(3):594-598. doi: 10.1080/09273948.2022.2032196. Epub 2022 Feb 4.
To provide a case report of Retinal Vein Occlusion (RVO) with COVID-19 infection.
A 15-year-old healthy male presented with blurring of vision, 2+ vitreous cells, retinal haemorrhages and dilated and tortuous retinal vessels in the left eye within 28 days of a positive COVID-19 reverse transcriptase polymerase chain reaction (RT-PCR) assay. He was diagnosed with left non-ischaemic CRVO, with a suspected aetiology of COVID-19.
A literature review found 12 reported cases of RVO associated with COVID-19. All but one patient was younger than 60, with a mean age of 42 years. Management varied, but in the majority (8/12), visual acuity (VA) improved with follow-up, and five (42%) had a final VA of 20/20.
In the absence of other known aetiological factors, ophthalmologists should consider COVID-19 as a cause of RVO. The outcome can vary, but the majority can expect improvement in VA with time.
提供一例视网膜静脉阻塞（RVO）合并新型冠状病毒肺炎（COVID-19）感染的病例报告。
一名15岁健康男性，在新型冠状病毒肺炎逆转录聚合酶链反应（RT-PCR）检测呈阳性后的28天内，出现左眼视力模糊、2+玻璃体细胞、视网膜出血以及视网膜血管扩张迂曲。他被诊断为左眼非缺血性中央视网膜静脉阻塞，病因怀疑为新型冠状病毒肺炎。
文献回顾发现12例报告的与新型冠状病毒肺炎相关的视网膜静脉阻塞病例。除1例患者外，所有患者年龄均小于60岁，平均年龄为42岁。治疗方法各异，但大多数患者（8/12）视力（VA）在随访中有所改善，5例（42%）最终视力达到20/20。
在没有其他已知病因的情况下，眼科医生应将新型冠状病毒肺炎视为视网膜静脉阻塞的一个病因。预后可能各不相同，但大多数患者有望随着时间推移视力得到改善。
