Department of Ophthalmology, Shiraz University of Medical Sciences, Poostchi Clinic, Zand Street, Shiraz, 7134997446, Iran.
MidAtlantic Retina, The Retina Service of Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA.
Int Ophthalmol. 2023 Nov;43(11):4343-4357. doi: 10.1007/s10792-023-02795-y. Epub 2023 Jul 11.
The SARS-CoV-2 pandemic has had a significant impact on healthcare, including eye care, worldwide. Effective and safe vaccines have been developed using both conventional and novel technologies to combat SARS-CoV-2 infection. While vaccination has been shown to be remarkably effective in reducing the spread and associated morbidity and mortality of COVID-19 disease, there have been reports of complications to the posterior segment of the eye.
We present a case-based analysis of reported complications of COVID-19 vaccination to the posterior segment of the eye. The study aims to highlight the diversity of possible complications and discuss the plausible involved pathophysiologic mechanisms.
The most significant complications reported were retinal macro or microvascular occlusions, uveitis, and central serous chorioretinopathy. These complications are rare but require prompt diagnosis and management to prevent serious visual morbidity.
Our study highlights the need for ophthalmologists to be aware of possible complications related to COVID-19 vaccination and the importance of prompt diagnosis and management. The findings of this study may help ophthalmologists to better understand and manage these rare complications.
SARS-CoV-2 大流行对全球的医疗保健(包括眼科保健)产生了重大影响。为了对抗 SARS-CoV-2 感染,已经使用传统和新型技术开发出了有效且安全的疫苗。虽然疫苗在显著降低 COVID-19 疾病的传播以及相关发病率和死亡率方面表现出色,但也有报道称疫苗接种会引起眼部后段的并发症。
我们对眼部后段 COVID-19 疫苗接种相关并发症的报道进行了基于病例的分析。本研究旨在强调可能出现的并发症的多样性,并讨论可能涉及的病理生理机制。
报告的最严重的并发症是视网膜大或微血管阻塞、葡萄膜炎和中心性浆液性脉络膜视网膜病变。这些并发症虽然罕见,但需要及时诊断和处理,以防止严重的视力丧失。
我们的研究强调了眼科医生需要意识到与 COVID-19 疫苗接种相关的可能并发症,以及及时诊断和处理的重要性。本研究的结果可能有助于眼科医生更好地理解和处理这些罕见的并发症。