Behera Geeta, Gera Pratik, Stephen Mary, Jose Augustine, Thabah Molly M, Wadwekar Vaibhav
Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Internal Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2022 Sep 3;14(9):e28735. doi: 10.7759/cureus.28735. eCollection 2022 Sep.
Cases of optic neuritis have been reported following the novel coronavirus disease 2019 (COVID-19), with most being unilateral and associated with demyelinating illness. We report a case of a 22-year-old woman who presented with sudden onset painless diminution of vision in both eyes six weeks following COVID-19 infection. She also had a history of left lower motor neuron (LMN) facial palsy immediately following COVID-19 disease that recovered fully on steroids. Ocular examination and ancillary and laboratory investigations pointed to bilateral atypical optic neuritis. The patient responded well to the standard optic neuritis treatment protocol. We diagnosed her as a case of left LMN facial palsy and parainfectious bilateral optic neuritis following COVID-19. Parainfectious bilateral optic neuritis and facial nerve palsy associated with COVID-19 can occur following COVID-19 disease. Ours is the first case to report the occurrence of both in a patient.
新型冠状病毒肺炎（COVID-19）后有视神经炎病例的报道，大多数为单侧，且与脱髓鞘疾病相关。我们报告一例22岁女性病例，她在感染COVID-19六周后突然出现双眼无痛性视力减退。她在感染COVID-19后立即出现左下肢运动神经元（LMN）性面瘫病史，经类固醇治疗后完全恢复。眼科检查以及辅助检查和实验室检查提示双侧非典型视神经炎。患者对标准的视神经炎治疗方案反应良好。我们诊断她为COVID-19后左LMN性面瘫和感染后双侧视神经炎病例。COVID-19后可发生与COVID-19相关的感染后双侧视神经炎和面神经麻痹。我们的病例是首例报道一名患者同时出现这两种情况。
