tetano
Editor, Senior Moderator
Ocul Immunol Inflamm
. 2020 Dec 7;1-3.
doi: 10.1080/09273948.2020.1852260. Online ahead of print.
Symptomatic Retinal Microangiophaty in a Patient with Coronavirus Disease 2019 (COVID-19): Single Case Report
Julio J Gonzalez-Lopez[SUP] 1 [/SUP], Beatriz Felix Espinar[SUP] 1 [/SUP], Cristina Ye-Zhu[SUP] 1 [/SUP]
Affiliations
Abstract
Purpose: Coronavirus Disease 2019 (COVID-19) can cause conjunctivitis in up to 31.6% of patients. Additionally, retinal findings compatible with retinal microvascular ischemia have also been associated with coronavirus disease in asymptomatic patients. We describe a case of bilateral retinal changes compatible with microangiopathy occurring during the late phase of COVID-19. Case report: A 50-year-old man with bilateral pneumonia and positive polymerase chain reaction for SARS-CoV-2 developed an arcuate visual field defect in his left eye. Funduscopy revealed multiple, bilateral cotton-wool spots without haemorraghes. OCT-angiography revealed multifocal areas of retinal microvascular ischemia in the superficial plexus, the largest of which corresponded to the arcuate scotoma observed in the automated perimetry. Conclusion: Visual field defects due to retinal microangiopathy can occur during the late phase of COVID-19. Vascular changes observed in the retina may mimic what may be happening in other, less-accessible organs.
Keywords: Communicable diseases; Covid-19; ophthalmology; retina; uveitis.
. 2020 Dec 7;1-3.
doi: 10.1080/09273948.2020.1852260. Online ahead of print.
Symptomatic Retinal Microangiophaty in a Patient with Coronavirus Disease 2019 (COVID-19): Single Case Report
Julio J Gonzalez-Lopez[SUP] 1 [/SUP], Beatriz Felix Espinar[SUP] 1 [/SUP], Cristina Ye-Zhu[SUP] 1 [/SUP]
Affiliations
- PMID: 33284032
- DOI: 10.1080/09273948.2020.1852260
Abstract
Purpose: Coronavirus Disease 2019 (COVID-19) can cause conjunctivitis in up to 31.6% of patients. Additionally, retinal findings compatible with retinal microvascular ischemia have also been associated with coronavirus disease in asymptomatic patients. We describe a case of bilateral retinal changes compatible with microangiopathy occurring during the late phase of COVID-19. Case report: A 50-year-old man with bilateral pneumonia and positive polymerase chain reaction for SARS-CoV-2 developed an arcuate visual field defect in his left eye. Funduscopy revealed multiple, bilateral cotton-wool spots without haemorraghes. OCT-angiography revealed multifocal areas of retinal microvascular ischemia in the superficial plexus, the largest of which corresponded to the arcuate scotoma observed in the automated perimetry. Conclusion: Visual field defects due to retinal microangiopathy can occur during the late phase of COVID-19. Vascular changes observed in the retina may mimic what may be happening in other, less-accessible organs.
Keywords: Communicable diseases; Covid-19; ophthalmology; retina; uveitis.