Acute macular neuroretinopathy associated with COVID-19 infection
Purpose: To report a case of bilateral acute macular neuroretinopathy (AMN) associated with a COVID-19 infection. Observations: A 22-year-old female was referred for evaluation of bilateral scotomas concurrent with a mildly symptomatic COVID-19 infection. Exam showed normal visual acuity, bilateral...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993621002413 |
| _version_ | 1818574834453446656 |
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| author | James A. David George D. Fivgas |
| author_facet | James A. David George D. Fivgas |
| author_sort | James A. David |
| collection | DOAJ |
| description | Purpose: To report a case of bilateral acute macular neuroretinopathy (AMN) associated with a COVID-19 infection. Observations: A 22-year-old female was referred for evaluation of bilateral scotomas concurrent with a mildly symptomatic COVID-19 infection. Exam showed normal visual acuity, bilateral reddish-brown petaloid retinal lesions which were hyporeflective on near infrared (NIR) optical coherence tomography (OCT), and had associated hypoperfusion of the deep vascular plexus on OCT-angiography (OCT-A) consistent with bilateral AMN. At follow-up, scotomas and retinal findings on near infrared imaging and spectral-domain optical coherence tomography had only slightly improved. Conclusions: COVID-19 has been documented to be the etiology of a growing number of ocular manifestations including microvascular events. We report a case of bilateral acute macular neuroretinopathy in a patient with a recent diagnosis of COVID-19 infection that had persistent symptoms and findings at six month follow-up. |
| first_indexed | 2024-12-15T00:31:22Z |
| format | Article |
| id | doaj.art-6eb2ea94ae3d4aa6b03edc00d921dba2 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-15T00:31:22Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-6eb2ea94ae3d4aa6b03edc00d921dba22022-12-21T22:42:00ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-12-0124101232Acute macular neuroretinopathy associated with COVID-19 infectionJames A. David0George D. Fivgas1Louisiana State University Health Sciences Center, Department of Ophthalmology, 533 Bolivar St, Room 451B, New Orleans, LA, 70112, USALouisiana State University Health Sciences Center, Department of Ophthalmology, 533 Bolivar St, Room 451B, New Orleans, LA, 70112, USA; The Retina Center, 7777 Hennessy Blvd, Ste 3000, Baton Rouge, LA, 70808, USA; Corresponding author. Ophthalmology, Retina Division, The Retina Center, 7777 Hennessy Blvd, Ste 3000, Baton Rouge, LA, 70808, USA.Purpose: To report a case of bilateral acute macular neuroretinopathy (AMN) associated with a COVID-19 infection. Observations: A 22-year-old female was referred for evaluation of bilateral scotomas concurrent with a mildly symptomatic COVID-19 infection. Exam showed normal visual acuity, bilateral reddish-brown petaloid retinal lesions which were hyporeflective on near infrared (NIR) optical coherence tomography (OCT), and had associated hypoperfusion of the deep vascular plexus on OCT-angiography (OCT-A) consistent with bilateral AMN. At follow-up, scotomas and retinal findings on near infrared imaging and spectral-domain optical coherence tomography had only slightly improved. Conclusions: COVID-19 has been documented to be the etiology of a growing number of ocular manifestations including microvascular events. We report a case of bilateral acute macular neuroretinopathy in a patient with a recent diagnosis of COVID-19 infection that had persistent symptoms and findings at six month follow-up.http://www.sciencedirect.com/science/article/pii/S2451993621002413Acute macular neuroretinopathyCoronavirusCOVIDCOVID-19SARS-CoV-2 |
| spellingShingle | James A. David George D. Fivgas Acute macular neuroretinopathy associated with COVID-19 infection American Journal of Ophthalmology Case Reports Acute macular neuroretinopathy Coronavirus COVID COVID-19 SARS-CoV-2 |
| title | Acute macular neuroretinopathy associated with COVID-19 infection |
| title_full | Acute macular neuroretinopathy associated with COVID-19 infection |
| title_fullStr | Acute macular neuroretinopathy associated with COVID-19 infection |
| title_full_unstemmed | Acute macular neuroretinopathy associated with COVID-19 infection |
| title_short | Acute macular neuroretinopathy associated with COVID-19 infection |
| title_sort | acute macular neuroretinopathy associated with covid 19 infection |
| topic | Acute macular neuroretinopathy Coronavirus COVID COVID-19 SARS-CoV-2 |
| url | http://www.sciencedirect.com/science/article/pii/S2451993621002413 |
| work_keys_str_mv | AT jamesadavid acutemacularneuroretinopathyassociatedwithcovid19infection AT georgedfivgas acutemacularneuroretinopathyassociatedwithcovid19infection |