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Ocul Immunol Inflamm . Herpes Simplex Virus 1 Anterior Uveitis following Coronavirus Disease 2019 (COVID-19) Vaccination in an Asian Indian Female

tetano

Editor, Senior Moderator
Ocul Immunol Inflamm


. 2022 Apr 11;1-5.
doi: 10.1080/09273948.2022.2055580. Online ahead of print.
Herpes Simplex Virus 1 Anterior Uveitis following Coronavirus Disease 2019 (COVID-19) Vaccination in an Asian Indian Female


Rohini Sangoram[SUP] 1 [/SUP], Padmamalini Mahendradas[SUP] 1 [/SUP], Sai Bhakti Mishra[SUP] 1 [/SUP], Ankush Kawali[SUP] 1 [/SUP], Srinivasan Sanjay[SUP] 1 [/SUP], Rohit Shetty[SUP] 2 [/SUP]



Affiliations

Abstract

Purpose: To describe a case of herpes simplex virus 1 (HSV 1) infection following coronavirus disease 2019 (COVID-19) vaccination in an Asian Indian female.
Methods: Retrospective case report.
Result: A 40-year-old female presented with decreased vision, pain, and photophobia of 2 weeks duration. She reported receiving the second dose of COVISHIELD[SUP]TM[/SUP] (ChAdOx1-S [recombinant]) 1 week prior to the onset of ocular symptoms. Left eye examination revealed granulomatous anterior uveitis. Aqueous sample from the left eye tested positive for HSV1 by polymerase chain reaction(PCR) method. She was managed with oral antiviral therapy, topical steroids, and cycloplegic agent and showed significant improvement of inflammation within 1 week and resolved within 3 weeks.
Conclusion: This report demonstrates a potential association of HSV 1 anterior uveitis with COVID-19 vaccination. A high index of suspicion of viral etiology is warranted when uveitis presents with reduced corneal sensations and pigmented keratic precipitates, following a recent history of COVID-19 vaccination.

Keywords: Anterior uveitis; COVID 19 vaccination; HSV 1; Herpes simplex virus; confocal microscopy.
 
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