Vitreoretinal Services, Shroff Eye Centre, New Delhi, India.
Retina Department Ahooja Eye and Dental Institute, Gurgaon, Haryana, India.
Indian J Ophthalmol. 2022 Oct;70(10):3710-3712. doi: 10.4103/ijo.IJO_1486_22.
A 32-year-old male with no known systemic illness presented with unilateral Purtscher-like retinopathy in his left eye 2 weeks after recovering from a severe COVID-19 infection. Fundus examination revealed areas of intraretinal whitening and few cotton wool spots. Multimodal imaging findings were consistent with embolic occlusion of capillaries seen in Purtscher-like retinopathy. The case highlights the effect of virus-directed coagulation cascade activation leading to unilateral microvasculopathy in our patient. The case adds to the spectrum of COVID-19 retinopathy and presses that retina screening strategies should be established for patients suffering from or recovering from severe COVID-19 infection.
一位 32 岁的男性，无已知系统性疾病，在严重 COVID-19 感染康复后 2 周出现左眼单侧类似 Purtscher 的视网膜病变。眼底检查显示视网膜内有片状变白，并有少量棉絮斑。多模态成像结果与类似 Purtscher 的视网膜病变中所见的毛细血管栓塞一致。该病例突出了病毒定向凝血级联激活导致患者单侧微血管病的影响。该病例增加了 COVID-19 视网膜病变的范围，并强调应针对患有或从严重 COVID-19 感染中康复的患者制定视网膜筛查策略。
