tetano
Editor, Senior Moderator
Case Rep Ophthalmol
. 2023 Aug 30;14(1):405-410.
doi: 10.1159/000532108. eCollection 2023 Jan-Dec. Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report
Hamid Reza Heidarzadeh[SUP] 1 [/SUP], Mojtaba Abrishami[SUP] 1 2 [/SUP], Mehrdad Motamed Shariati[SUP] 1 [/SUP], Seyed Hossein Ghavami Shahri[SUP] 1 [/SUP], Mohammad Reza Ansari Astaneh[SUP] 1 [/SUP]
Affiliations
Herein, we report a patient with atypical central retinal artery occlusion (CRAO) following COVID-19 recovery. A 44-year-old male was referred to the emergency room with a history of diplopia and sudden-onset painless visual loss in his left eye. He had a history of 1-week hospitalization for severe COVID-19 infection with pneumonia 3 weeks before, with positive real-time reverse transcription polymerase chain reaction result for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a nasopharyngeal sample. His visual acuity in the left eye was light perception which became no light perception later. Relative afferent pupillary defect was positive in the left eye. He had anterior chamber and anterior vitreous cells due to spillover and white cotton-wool-like patches in the left eye. He was diagnosed with atypical CRAO with uveitis-like features. After 3 weeks, he developed neovascular glaucoma and was treated with panretinal photocoagulation. In conclusion, SARS-CoV-2-induced vasculopathy and hypercoagulopathy conditions may be involved in the progression of CRAO in our patient. COVID-19 could be a considerable predisposing factor for CRAO.
Keywords: Central retinal artery occlusion; Coronavirus disease 2019; Severe acute respiratory syndrome coronavirus 2.
. 2023 Aug 30;14(1):405-410.
doi: 10.1159/000532108. eCollection 2023 Jan-Dec. Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report
Hamid Reza Heidarzadeh[SUP] 1 [/SUP], Mojtaba Abrishami[SUP] 1 2 [/SUP], Mehrdad Motamed Shariati[SUP] 1 [/SUP], Seyed Hossein Ghavami Shahri[SUP] 1 [/SUP], Mohammad Reza Ansari Astaneh[SUP] 1 [/SUP]
Affiliations
- PMID: 37901628
- PMCID: PMC10601811
- DOI: 10.1159/000532108
Herein, we report a patient with atypical central retinal artery occlusion (CRAO) following COVID-19 recovery. A 44-year-old male was referred to the emergency room with a history of diplopia and sudden-onset painless visual loss in his left eye. He had a history of 1-week hospitalization for severe COVID-19 infection with pneumonia 3 weeks before, with positive real-time reverse transcription polymerase chain reaction result for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a nasopharyngeal sample. His visual acuity in the left eye was light perception which became no light perception later. Relative afferent pupillary defect was positive in the left eye. He had anterior chamber and anterior vitreous cells due to spillover and white cotton-wool-like patches in the left eye. He was diagnosed with atypical CRAO with uveitis-like features. After 3 weeks, he developed neovascular glaucoma and was treated with panretinal photocoagulation. In conclusion, SARS-CoV-2-induced vasculopathy and hypercoagulopathy conditions may be involved in the progression of CRAO in our patient. COVID-19 could be a considerable predisposing factor for CRAO.
Keywords: Central retinal artery occlusion; Coronavirus disease 2019; Severe acute respiratory syndrome coronavirus 2.