Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report
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...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2023-08-01
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| Series: | Case Reports in Ophthalmology |
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| Online Access: | https://beta.karger.com/Article/FullText/532108 |
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| author | Hamid Reza Heidarzadeh Mojtaba Abrishami Mehrdad Motamed Shariati Seyed Hossein Ghavami Shahri Mohammad Reza Ansari Astaneh |
| author_facet | Hamid Reza Heidarzadeh Mojtaba Abrishami Mehrdad Motamed Shariati Seyed Hossein Ghavami Shahri Mohammad Reza Ansari Astaneh |
| author_sort | Hamid Reza Heidarzadeh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T02:03:06Z |
| format | Article |
| id | doaj.art-4fca4b9652294e0a943db80072ac6165 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-03-12T02:03:06Z |
| publishDate | 2023-08-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-4fca4b9652294e0a943db80072ac61652023-09-07T07:56:39ZengKarger PublishersCase Reports in Ophthalmology1663-26992023-08-0114140541010.1159/000532108532108Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case ReportHamid Reza Heidarzadeh0Mojtaba Abrishami1Mehrdad Motamed Shariati2Seyed Hossein Ghavami Shahri3Mohammad Reza Ansari Astaneh4Eye Research Center, Mashhad University of Medical Sciences, Mashhad, IranEye Research Center, Mashhad University of Medical Sciences, Mashhad, IranEye Research Center, Mashhad University of Medical Sciences, Mashhad, IranEye Research Center, Mashhad University of Medical Sciences, Mashhad, IranEye Research Center, Mashhad University of Medical Sciences, Mashhad, IranHerein, 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.https://beta.karger.com/Article/FullText/532108severe acute respiratory syndrome coronavirus 2coronavirus disease 2019central retinal artery occlusion |
| spellingShingle | Hamid Reza Heidarzadeh Mojtaba Abrishami Mehrdad Motamed Shariati Seyed Hossein Ghavami Shahri Mohammad Reza Ansari Astaneh Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report Case Reports in Ophthalmology severe acute respiratory syndrome coronavirus 2 coronavirus disease 2019 central retinal artery occlusion |
| title | Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report |
| title_full | Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report |
| title_fullStr | Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report |
| title_full_unstemmed | Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report |
| title_short | Atypical Central Retinal Artery Occlusion following COVID-19 Infection: A Case Report |
| title_sort | atypical central retinal artery occlusion following covid 19 infection a case report |
| topic | severe acute respiratory syndrome coronavirus 2 coronavirus disease 2019 central retinal artery occlusion |
| url | https://beta.karger.com/Article/FullText/532108 |
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