Christopher D Conrady1, Lisa J Faia2,3, Kevin S Gregg4, Rajesh C Rao5,6,7,8,9. 1. Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA. 2. Associated Retinal Consultants, P.C., Royal Oak, Michigan, USA. 3. Department of Ophthalmology, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA. 4. Division of Infectious Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA. 5. Department of Pathology, University of Michigan, Ann Arbor, MI, USA. 6. Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA. 7. Comprehensive Cancer Center, University of Michigan, Ann Arbor, USA. 8. A. Alfred Taubman Medical Research Institute, University of Michigan, Ann Arbor, MI, USA. 9. Section of Ophthalmology, Surgery Service, Veterans Administration Ann Arbor Healthsystem, Ann Arbor, MI, USA.
Abstract
Background: To describe the first case of Coronavirus disease-2019 (COVID-19) vision loss from an acute outer retinopathy. Methods: A retrospective case report from a tertiary referral center using multimodal retinal imaging and clinical examination findingsFindings: A 40-year-old female developed significant vision loss in her right eye shortly after developing fever and myalgias. She was found to be COVID positive, while her systemic laboratory evaluation was otherwise unremarkable. Multimodal imaging was consistent with a white-dot-like outer retinopathy and she was started on systemic prednisone. Within 10 days of starting steroids, her vision, symptoms, and outer retinal changes on multimodal imaging were improving.Interpretation: While exceedingly rare, COVID-19 can cause inflammatory-associated changes of the outer retina and significant vision loss.
Background: To describe the first case of Coronavirus disease-2019 (COVID-19) vision loss from an acute outer retinopathy. Methods: A retrospective case report from a tertiary referral center using multimodal retinal imaging and clinical examination findingsFindings: A 40-year-old female developed significant vision loss in her right eye shortly after developing fever and myalgias. She was found to be COVID positive, while her systemic laboratory evaluation was otherwise unremarkable. Multimodal imaging was consistent with a white-dot-like outer retinopathy and she was started on systemic prednisone. Within 10 days of starting steroids, her vision, symptoms, and outer retinal changes on multimodal imaging were improving.Interpretation: While exceedingly rare, COVID-19 can cause inflammatory-associated changes of the outer retina and significant vision loss.
Entities:
Keywords:
COVID; coronavirus; outer retinopathy; vision loss
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