tetano
Editor, Senior Moderator
Eur J Ophthalmol
. 2020 Dec 22;1120672120984381.
doi: 10.1177/1120672120984381. Online ahead of print.
A case of bilateral unusual retinal hemorrhages in a COVID-19 patient
Clara Monferrer-Adsuara[SUP] 1 [/SUP], Ver?nica Castro-Navarro[SUP] 1 2 [/SUP], Nuria Gonz?lez-Gir?n[SUP] 1 [/SUP], Lidia Remol?-Sargues[SUP] 1 [/SUP], Miguel Ortiz-Salvador[SUP] 1 [/SUP], Javier Montero-Hern?ndez[SUP] 1 2 [/SUP], Enrique Cervera-Taulet[SUP] 1 2 [/SUP]
Affiliations
Abstract
Purpose: There have been anecdotal reports of ocular manifestations in the Coronavirus Disease 2019 (COVID-19). As the pandemic is spreading and the whole picture is yet unknown, ophthalmologists should be aware of unusual ocular presentations of COVID-19 since they could precede the development of severe respiratory distress.
Methods: We report here the first case of a patient with bilateral unusual dot-blot retinal hemorrhages and retinal venous dilation who presented shortly thereafter a PCR-proven COVID-19.
Case report: A 59-year-old woman presented with a 7 days history of blurred vision in both eyes. Fundus examination revealed bilateral venous stasis and dot and blot intra-retinal hemorrhages preceding the diagnosis of COVID-19 in a patient with mild respiratory symptoms that progressed within a few days to a severe respiratory distress. After 1 month of the COVID-19 treatment, fundus examination improved and fluorescein angiography demonstrated no diabetic retinopathy signs, no retinal vasculitis and no significant delay in arterial or venous filling.
Conclusion: Intraretinal hemorrhages similar to those found in the retinopathy associated to blood dyscrasias could be an association with SARS-CoV-2 in the context of a coagulopathy induced by the infection.
Keywords: COVID-19; SARS-CoV-2; intraretinal hemorrhages; novel coronavirus; ophthlamology.
. 2020 Dec 22;1120672120984381.
doi: 10.1177/1120672120984381. Online ahead of print.
A case of bilateral unusual retinal hemorrhages in a COVID-19 patient
Clara Monferrer-Adsuara[SUP] 1 [/SUP], Ver?nica Castro-Navarro[SUP] 1 2 [/SUP], Nuria Gonz?lez-Gir?n[SUP] 1 [/SUP], Lidia Remol?-Sargues[SUP] 1 [/SUP], Miguel Ortiz-Salvador[SUP] 1 [/SUP], Javier Montero-Hern?ndez[SUP] 1 2 [/SUP], Enrique Cervera-Taulet[SUP] 1 2 [/SUP]
Affiliations
- PMID: 33353419
- DOI: 10.1177/1120672120984381
Abstract
Purpose: There have been anecdotal reports of ocular manifestations in the Coronavirus Disease 2019 (COVID-19). As the pandemic is spreading and the whole picture is yet unknown, ophthalmologists should be aware of unusual ocular presentations of COVID-19 since they could precede the development of severe respiratory distress.
Methods: We report here the first case of a patient with bilateral unusual dot-blot retinal hemorrhages and retinal venous dilation who presented shortly thereafter a PCR-proven COVID-19.
Case report: A 59-year-old woman presented with a 7 days history of blurred vision in both eyes. Fundus examination revealed bilateral venous stasis and dot and blot intra-retinal hemorrhages preceding the diagnosis of COVID-19 in a patient with mild respiratory symptoms that progressed within a few days to a severe respiratory distress. After 1 month of the COVID-19 treatment, fundus examination improved and fluorescein angiography demonstrated no diabetic retinopathy signs, no retinal vasculitis and no significant delay in arterial or venous filling.
Conclusion: Intraretinal hemorrhages similar to those found in the retinopathy associated to blood dyscrasias could be an association with SARS-CoV-2 in the context of a coagulopathy induced by the infection.
Keywords: COVID-19; SARS-CoV-2; intraretinal hemorrhages; novel coronavirus; ophthlamology.