tetano
Editor, Senior Moderator
Indian J Ophthalmol
. 2022 Feb;70(2):673-676.
doi: 10.4103/ijo.IJO_1422_21.
Multitarget microangiopathy in a young healthy man with COVID-19 disease: A case report
Roda Matilde[SUP] 1 [/SUP], Pazzaglia Alberto[SUP] 1 [/SUP], Guaraldi Fabio[SUP] 1 [/SUP], Taroni Leonardo[SUP] 1 [/SUP], Natalie di Geronimo[SUP] 1 [/SUP], Fresina Michela[SUP] 1 [/SUP], Schiavi Costantino[SUP] 1 [/SUP]
Affiliations
Abstract
A 41-year-old man presented to the emergency department complaining of decrease of vision in his left eye. Initial examination was consistent with retrobulbar optic neuritis, and an intravenous drip of methylprednisolone was started. On the third day, the fundus examination revealed the appearance of multiple Purtscher-like cotton-wool spots in the posterior pole and nasally to the optic disc, slight retinal whitening around the fovea, and cherry-red spot. The patient reported flu-like symptoms, and he tested positive at PCR (polymerase chain reaction) test for 2019-nCoV (2019 novel coronavirus) infection. Assuming possible 2019-nCoV-related vascular damage, we prescribed low-molecular-weight heparin. The lesions were regressing at follow-up, and we registered a complete visual recovery.
Keywords: COVID-19; Purtscher's retinopathy; incomplete CRAO; paracentral acute middle maculopathy; retinal microangiopathy.
. 2022 Feb;70(2):673-676.
doi: 10.4103/ijo.IJO_1422_21.
Multitarget microangiopathy in a young healthy man with COVID-19 disease: A case report
Roda Matilde[SUP] 1 [/SUP], Pazzaglia Alberto[SUP] 1 [/SUP], Guaraldi Fabio[SUP] 1 [/SUP], Taroni Leonardo[SUP] 1 [/SUP], Natalie di Geronimo[SUP] 1 [/SUP], Fresina Michela[SUP] 1 [/SUP], Schiavi Costantino[SUP] 1 [/SUP]
Affiliations
- PMID: 35086263
- DOI: 10.4103/ijo.IJO_1422_21
Abstract
A 41-year-old man presented to the emergency department complaining of decrease of vision in his left eye. Initial examination was consistent with retrobulbar optic neuritis, and an intravenous drip of methylprednisolone was started. On the third day, the fundus examination revealed the appearance of multiple Purtscher-like cotton-wool spots in the posterior pole and nasally to the optic disc, slight retinal whitening around the fovea, and cherry-red spot. The patient reported flu-like symptoms, and he tested positive at PCR (polymerase chain reaction) test for 2019-nCoV (2019 novel coronavirus) infection. Assuming possible 2019-nCoV-related vascular damage, we prescribed low-molecular-weight heparin. The lesions were regressing at follow-up, and we registered a complete visual recovery.
Keywords: COVID-19; Purtscher's retinopathy; incomplete CRAO; paracentral acute middle maculopathy; retinal microangiopathy.
