Department of Ophthalmology, Ayancık State Hospital, Sinop, Turkey.
Department of Ophthalmology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Ocul Immunol Inflamm. 2023 Aug;31(6):1236-1239. doi: 10.1080/09273948.2022.2114916. Epub 2022 Sep 8.
The aim is to report a case of bilateral macular edema after COVID-19 pneumonia.
A 66-year-old male patient with history of COVID-19 pneumonia presented to us with decreased vision. Examination showed bilateral cystoid macular edema (CME), which was confirmed on optical coherence tomography (OCT). There were no findings in the fundus examination. He had no systemic disease, drug or surgery history, or any factors that could explain the clinic presentation. Work-up for uveitis was unremarkable. After topical therapy with brinzolamide 1% and nepafenac 0.1%, macular edema regressed in a month.
This is an unusual case of CME in previous COVID-19 infection. This presentation may be a parainfectious or a post-viral manifestation of COVID-19.
报告一例 COVID-19 肺炎后双侧黄斑水肿病例。
一名 66 岁男性患者，有 COVID-19 肺炎病史，因视力下降就诊。检查发现双侧囊样黄斑水肿（CME），经光学相干断层扫描（OCT）证实。眼底检查无异常发现。他没有系统性疾病、药物或手术史，也没有任何可以解释其临床表现的因素。葡萄膜炎的检查无明显异常。局部应用布林佐胺 1%和那他霉素 0.1%治疗一个月后，黄斑水肿消退。
这是一例 COVID-19 感染后不常见的 CME 病例。这种表现可能是 COVID-19 的副感染或病毒后表现。
