tetano
Editor, Senior Moderator
Am J Ophthalmol Case Rep
. 2021 Nov 10;101232.
doi: 10.1016/j.ajoc.2021.101232. Online ahead of print.
Acute macular neuroretinopathy associated with COVID-19 infection
James A David[SUP] 1 [/SUP], George D Fivgas[SUP] 1 2 [/SUP]
Affiliations
Abstract
Purpose: To report a case of bilateral acute macular neuroretinopathy (AMN) associated with a COVID-19 infection.
Observations: A 22-year-old female was referred for evaluation of bilateral scotomas concurrent with a mildly symptomatic COVID-19 infection. Exam showed normal visual acuity, bilateral reddish-brown petaloid retinal lesions which were hyporeflective on near infrared (NIR) optical coherence tomography (OCT), and had associated hypoperfusion of the deep vascular plexus on OCT-angiography (OCT-A) consistent with bilateral AMN. At follow-up, scotomas and retinal findings on near infrared imaging and spectral-domain optical coherence tomography had only slightly improved.
Conclusions: and Importance: COVID-19 has been documented to be the etiology of a growing number of ocular manifestations including microvascular events. We report a case of bilateral acute macular neuroretinopathy in a patient with a recent diagnosis of COVID-19 infection that had persistent symptoms and findings at six month follow-up.
Keywords: Acute macular neuroretinopathy; COVID; COVID-19; Coronavirus; SARS-CoV-2.
. 2021 Nov 10;101232.
doi: 10.1016/j.ajoc.2021.101232. Online ahead of print.
Acute macular neuroretinopathy associated with COVID-19 infection
James A David[SUP] 1 [/SUP], George D Fivgas[SUP] 1 2 [/SUP]
Affiliations
- PMID: 34778601
- PMCID: PMC8577875
- DOI: 10.1016/j.ajoc.2021.101232
Abstract
Purpose: To report a case of bilateral acute macular neuroretinopathy (AMN) associated with a COVID-19 infection.
Observations: A 22-year-old female was referred for evaluation of bilateral scotomas concurrent with a mildly symptomatic COVID-19 infection. Exam showed normal visual acuity, bilateral reddish-brown petaloid retinal lesions which were hyporeflective on near infrared (NIR) optical coherence tomography (OCT), and had associated hypoperfusion of the deep vascular plexus on OCT-angiography (OCT-A) consistent with bilateral AMN. At follow-up, scotomas and retinal findings on near infrared imaging and spectral-domain optical coherence tomography had only slightly improved.
Conclusions: and Importance: COVID-19 has been documented to be the etiology of a growing number of ocular manifestations including microvascular events. We report a case of bilateral acute macular neuroretinopathy in a patient with a recent diagnosis of COVID-19 infection that had persistent symptoms and findings at six month follow-up.
Keywords: Acute macular neuroretinopathy; COVID; COVID-19; Coronavirus; SARS-CoV-2.