Punctate inner choroidopathy immediately after COVID-19 infection: a case report

Abstract Background Punctate inner choroidopathy (PIC) is a rare idiopathic inflammatory multifocal chorioretinopathy. Although the etiology of PIC is unknown, it is proposed to be an autoimmune disease that arises in the context of polygenic susceptibility triggered by an environmental stimulus, su...

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Main Authors: Manabu Miyata, Sotaro Ooto, Yuki Muraoka
Format: Article
Language:English
Published: BMC 2022-07-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-022-02514-8
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author Manabu Miyata
Sotaro Ooto
Yuki Muraoka
author_facet Manabu Miyata
Sotaro Ooto
Yuki Muraoka
author_sort Manabu Miyata
collection DOAJ
description Abstract Background Punctate inner choroidopathy (PIC) is a rare idiopathic inflammatory multifocal chorioretinopathy. Although the etiology of PIC is unknown, it is proposed to be an autoimmune disease that arises in the context of polygenic susceptibility triggered by an environmental stimulus, such as infection. We reported a case of PIC immediately after COVID-19 infection. Case presentation A 25-year-old woman complained of blurred vision in the right eye six days after the symptoms of COVID-19 infection first appeared. The patient visited our hospital and underwent comprehensive ophthalmological examination 18 days after the initial COVID-19 symptoms. Based on the characteristic fundus features observed with multimodal imaging, retinal specialists made a diagnosis of PIC. The patient was affected with high myopia. As her general COVID-19 symptoms disappeared, the patient was prescribed oral prednisolone 30 mg/day for 14 days to treat PIC. Fundus abnormality decreased and her ocular symptoms improved. No side effects were observed, including the recurrence of general COVID-19 symptoms. Conclusion We experienced an extremely rare case of PIC immediately after COVID-19 infection and showed the potential safety and effectiveness of oral prednisolone in treating PIC in the active phase after the disappearance of the general COVID-19 infection symptoms.
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spelling doaj.art-13b5c6a9eee742bdba2d77984cd51bfd2022-12-22T01:25:52ZengBMCBMC Ophthalmology1471-24152022-07-012211510.1186/s12886-022-02514-8Punctate inner choroidopathy immediately after COVID-19 infection: a case reportManabu Miyata0Sotaro Ooto1Yuki Muraoka2Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of MedicineDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of MedicineDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of MedicineAbstract Background Punctate inner choroidopathy (PIC) is a rare idiopathic inflammatory multifocal chorioretinopathy. Although the etiology of PIC is unknown, it is proposed to be an autoimmune disease that arises in the context of polygenic susceptibility triggered by an environmental stimulus, such as infection. We reported a case of PIC immediately after COVID-19 infection. Case presentation A 25-year-old woman complained of blurred vision in the right eye six days after the symptoms of COVID-19 infection first appeared. The patient visited our hospital and underwent comprehensive ophthalmological examination 18 days after the initial COVID-19 symptoms. Based on the characteristic fundus features observed with multimodal imaging, retinal specialists made a diagnosis of PIC. The patient was affected with high myopia. As her general COVID-19 symptoms disappeared, the patient was prescribed oral prednisolone 30 mg/day for 14 days to treat PIC. Fundus abnormality decreased and her ocular symptoms improved. No side effects were observed, including the recurrence of general COVID-19 symptoms. Conclusion We experienced an extremely rare case of PIC immediately after COVID-19 infection and showed the potential safety and effectiveness of oral prednisolone in treating PIC in the active phase after the disappearance of the general COVID-19 infection symptoms.https://doi.org/10.1186/s12886-022-02514-8COVID-19Oral prednisolonePunctate inner choroidopathy
spellingShingle Manabu Miyata
Sotaro Ooto
Yuki Muraoka
Punctate inner choroidopathy immediately after COVID-19 infection: a case report
BMC Ophthalmology
COVID-19
Oral prednisolone
Punctate inner choroidopathy
title Punctate inner choroidopathy immediately after COVID-19 infection: a case report
title_full Punctate inner choroidopathy immediately after COVID-19 infection: a case report
title_fullStr Punctate inner choroidopathy immediately after COVID-19 infection: a case report
title_full_unstemmed Punctate inner choroidopathy immediately after COVID-19 infection: a case report
title_short Punctate inner choroidopathy immediately after COVID-19 infection: a case report
title_sort punctate inner choroidopathy immediately after covid 19 infection a case report
topic COVID-19
Oral prednisolone
Punctate inner choroidopathy
url https://doi.org/10.1186/s12886-022-02514-8
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AT sotaroooto punctateinnerchoroidopathyimmediatelyaftercovid19infectionacasereport
AT yukimuraoka punctateinnerchoroidopathyimmediatelyaftercovid19infectionacasereport