Acute bilateral retrobulbar optic neuritis - An atypical sequela of COVID-19

Coronavirus disease 19 (COVID-19) and its ophthalmic manifestations have been variably portrayed. We report a case of a 56-year-old female presenting with sudden-onset vision loss associated with painful extraocular muscle movements in both eyes following COVID-19. Visual acuity was counting fingers...

Full description

Bibliographic Details
Main Authors: Dipika Sainath, Anujeet Paul, Srikanth Krishnagopal, Ashok Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=12;spage=3761;epage=3764;aulast=Sainath
_version_ 1811239467877400576
author Dipika Sainath
Anujeet Paul
Srikanth Krishnagopal
Ashok Kumar
author_facet Dipika Sainath
Anujeet Paul
Srikanth Krishnagopal
Ashok Kumar
author_sort Dipika Sainath
collection DOAJ
description Coronavirus disease 19 (COVID-19) and its ophthalmic manifestations have been variably portrayed. We report a case of a 56-year-old female presenting with sudden-onset vision loss associated with painful extraocular muscle movements in both eyes following COVID-19. Visual acuity was counting fingers close to face. Color perception tested was inaccurate. Ocular examination revealed sluggishly reacting pupils and an otherwise unremarkable fundus picture in both eyes, giving us an impression of bilateral retrobulbar neuritis. Magnetic resonance imaging of the brain and orbit were unremarkable, while blood investigations revealed nothing suggestive. The patient dramatically improved with steroid therapy with full visual recovery and a color vision defect. This presentation of bilateral retrobulbar neuritis as a sequela of COVID-19 is presented for its rarity.
first_indexed 2024-04-12T13:00:18Z
format Article
id doaj.art-859b7aaf6813423081e29233a98458e6
institution Directory Open Access Journal
issn 0301-4738
1998-3689
language English
last_indexed 2024-04-12T13:00:18Z
publishDate 2021-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Ophthalmology
spelling doaj.art-859b7aaf6813423081e29233a98458e62022-12-22T03:32:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-0169123761376410.4103/ijo.IJO_2155_21Acute bilateral retrobulbar optic neuritis - An atypical sequela of COVID-19Dipika SainathAnujeet PaulSrikanth KrishnagopalAshok KumarCoronavirus disease 19 (COVID-19) and its ophthalmic manifestations have been variably portrayed. We report a case of a 56-year-old female presenting with sudden-onset vision loss associated with painful extraocular muscle movements in both eyes following COVID-19. Visual acuity was counting fingers close to face. Color perception tested was inaccurate. Ocular examination revealed sluggishly reacting pupils and an otherwise unremarkable fundus picture in both eyes, giving us an impression of bilateral retrobulbar neuritis. Magnetic resonance imaging of the brain and orbit were unremarkable, while blood investigations revealed nothing suggestive. The patient dramatically improved with steroid therapy with full visual recovery and a color vision defect. This presentation of bilateral retrobulbar neuritis as a sequela of COVID-19 is presented for its rarity.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=12;spage=3761;epage=3764;aulast=Sainathcoronaviruscovid-19optic neuritis
spellingShingle Dipika Sainath
Anujeet Paul
Srikanth Krishnagopal
Ashok Kumar
Acute bilateral retrobulbar optic neuritis - An atypical sequela of COVID-19
Indian Journal of Ophthalmology
coronavirus
covid-19
optic neuritis
title Acute bilateral retrobulbar optic neuritis - An atypical sequela of COVID-19
title_full Acute bilateral retrobulbar optic neuritis - An atypical sequela of COVID-19
title_fullStr Acute bilateral retrobulbar optic neuritis - An atypical sequela of COVID-19
title_full_unstemmed Acute bilateral retrobulbar optic neuritis - An atypical sequela of COVID-19
title_short Acute bilateral retrobulbar optic neuritis - An atypical sequela of COVID-19
title_sort acute bilateral retrobulbar optic neuritis an atypical sequela of covid 19
topic coronavirus
covid-19
optic neuritis
url http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=12;spage=3761;epage=3764;aulast=Sainath
work_keys_str_mv AT dipikasainath acutebilateralretrobulbaropticneuritisanatypicalsequelaofcovid19
AT anujeetpaul acutebilateralretrobulbaropticneuritisanatypicalsequelaofcovid19
AT srikanthkrishnagopal acutebilateralretrobulbaropticneuritisanatypicalsequelaofcovid19
AT ashokkumar acutebilateralretrobulbaropticneuritisanatypicalsequelaofcovid19