Tuzla State Hospital, Department of Ophthalmology, Istanbul, Turkey.
Arq Bras Oftalmol. 2023 May-Jun;86(3):274-276. doi: 10.5935/0004-2749.20230017.
The aim of this case report is to present the case of a patient diagnosed as having coronavirus disease (COVID-19) who developed branch retinal vein occlusion in both eyes at different time points. A 48-year-old male patient was admitted to our hospital with symptoms of mild COVID-19 and was diagnosed as having severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection after polymerase chain reaction testing. Two months after the diagnosis, branch retinal vein occlusion was found in his left eye on fundoscopic examination, with a visual acuity of 20/100. In the third month of therapy, the same symptoms developed in the right eye and was diagnosed as branch retinal vein occlusion. The visual acuity was 10/100 in his right eye, which increased to 40/100 in the right eye and 30/100 in the left eye after treatment. The development of branch retinal vein occlusion can be observed during the mild stage of COVID-19, which triggers viral microangiopathy and hypercoagulation. Physicians should be strictly vigilant for retinal assessment in patients with vision loss due to a mild history of COVID-19.
本病例报告旨在介绍一例患者，该患者被诊断为患有冠状病毒病（COVID-19），并在不同时间点双眼均发生视网膜分支静脉阻塞。一名 48 岁男性患者因轻度 COVID-19 症状入院，聚合酶链反应检测后被诊断为严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）感染。诊断后两个月，眼底检查发现左眼视网膜分支静脉阻塞，视力为 20/100。在治疗的第三个月，右眼出现相同症状，并被诊断为视网膜分支静脉阻塞。右眼视力为 10/100，经治疗后右眼视力提高至 40/100，左眼视力提高至 30/100。在 COVID-19 的轻度阶段可以观察到视网膜分支静脉阻塞的发展，这会引发病毒性微血管病和高凝状态。对于因轻度 COVID-19 病史而出现视力丧失的患者，医生应严格警惕视网膜评估。
