Department of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Giza; Watany Eye Hospital, Cairo, Egypt.
Department of Ophthalmology, Faculty of Medicine, Ain Shams University, Cairo, India.
Indian J Ophthalmol. 2022 Apr;70(4):1421-1424. doi: 10.4103/ijo.IJO_2718_21.
We present two ICU-hospitalized patients with coronavirus disease-19 (COVID-19) presenting with endogenous endophthalmitis in one eye and variable manifestations of chorioretinitis in the fellow eye. Two diabetic patients (57 and 62 years old) showed anterior uveitis and yellowish-white subretinal infiltrations. The fellow eye of one patient showed patches of choroiditis, while the other showed full retinal thickness infiltrations. A workup yielded high serum titers of galactomannan, diagnostic of aspergillosis. The widespread use of high doses of corticosteroids in the management of COVID-19 may predispose to various secondary fungal opportunistic infections and may manifest in different forms of chorioretinal infiltration.
我们报告了两例 2 型糖尿病合并 COVID-19 的 ICU 住院患者，其中 1 例单侧眼表现为内源性眼内炎，对侧眼表现为脉络膜视网膜炎的多种不同表现。2 例患者均表现为前葡萄膜炎和黄白色的视网膜下浸润。其中 1 例对侧眼表现为脉络膜炎斑片，另 1 例则表现为全视网膜厚度浸润。实验室检查血清半乳甘露聚糖抗体滴度升高，诊断为曲霉菌病。COVID-19 患者大剂量糖皮质激素的广泛应用可能导致各种继发性真菌感染，并以不同形式的脉络膜视网膜浸润为表现。
