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.
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.
Authors: Jessica G Shantha; Sara C Auld; Casey Anthony; Laura Ward; Max W Adelman; Cheryl L Maier; Kenneth W Price; Jesse T Jacob; Tolulope Fashina; Casey Randleman; Lucy T Xu; Joshua Barnett; Ofer Sadan; Prem A Kandiah; Jay B Varkey; Colleen S Kraft; Nadine Rouphael; Susanne Linderman; Rafi Ahmed; Carolyn Drews-Botsch; Jesse J Waggoner; Max Weinmann; David J Murphy; Steven Yeh Journal: Ocul Immunol Inflamm Date: 2021-08-31 Impact factor: 3.728
Authors: Isabel Boden; Miguel O Bernabeu; Baljean Dhillon; David A Dorward; Ian MacCormick; Roly Megaw; Claire Tochel Journal: Diabetes Res Clin Pract Date: 2022-04-05 Impact factor: 8.180
Authors: Vittorio Capuano; Paolo Forte; Riccardo Sacconi; Alexandra Miere; Carl-Joe Mehanna; Caterina Barone; Francesco Bandello; Eric H Souied; Giuseppe Querques Journal: Eur J Ophthalmol Date: 2022-03-31 Impact factor: 2.597