Retrospective diagnosis of COVID-19 following the detection of central retinal artery occlusion
Thromboembolic complications are being increasingly reported in patients with COVID-19 due to the associated hypercoagulability and are an important cause for morbidity and mortality. Retinal vascular occlusions especially arterial occlusions are one of the gravest ocular complications reported. Thi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Oman Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2022;volume=15;issue=2;spage=234;epage=236;aulast=Lekha |
| _version_ | 1828270176574898176 |
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| author | T Lekha Rosina Thomas Anantharaman Giridhar Mahesh Gopalakrishnan |
| author_facet | T Lekha Rosina Thomas Anantharaman Giridhar Mahesh Gopalakrishnan |
| author_sort | T Lekha |
| collection | DOAJ |
| description | Thromboembolic complications are being increasingly reported in patients with COVID-19 due to the associated hypercoagulability and are an important cause for morbidity and mortality. Retinal vascular occlusions especially arterial occlusions are one of the gravest ocular complications reported. This complication may occur in severe cases with cytokine storm or even in mild or asymptomatic patients and presentation can be anytime from few days to weeks after the onset of symptoms. Ophthalmologists should be aware of this new etiology when dealing with patients having features of retinal vascular occlusions and should investigate for the same in this pandemic situation. Although reverse transcriptase polymerase chain reaction is the diagnostic test for COVID-19, serological assays have a role in patients with delayed presentation. We describe the clinical features and multimodal imaging findings in a patient who presented with features of central retinal artery occlusion with cilioretinal artery sparing wherein his ophthalmic condition led to the diagnosis of previously undetected COVID-19 through serology. To the best of our knowledge, this is the first documentation of a case of isolated central retinal artery occlusion leading to a retrospective diagnosis of COVID-19. |
| first_indexed | 2024-04-13T05:39:35Z |
| format | Article |
| id | doaj.art-a26ed798de4748b698cdb0a4eadc557e |
| institution | Directory Open Access Journal |
| issn | 0974-620X |
| language | English |
| last_indexed | 2024-04-13T05:39:35Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Oman Journal of Ophthalmology |
| spelling | doaj.art-a26ed798de4748b698cdb0a4eadc557e2022-12-22T03:00:10ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2022-01-0115223423610.4103/ojo.ojo_226_21Retrospective diagnosis of COVID-19 following the detection of central retinal artery occlusionT LekhaRosina ThomasAnantharaman GiridharMahesh GopalakrishnanThromboembolic complications are being increasingly reported in patients with COVID-19 due to the associated hypercoagulability and are an important cause for morbidity and mortality. Retinal vascular occlusions especially arterial occlusions are one of the gravest ocular complications reported. This complication may occur in severe cases with cytokine storm or even in mild or asymptomatic patients and presentation can be anytime from few days to weeks after the onset of symptoms. Ophthalmologists should be aware of this new etiology when dealing with patients having features of retinal vascular occlusions and should investigate for the same in this pandemic situation. Although reverse transcriptase polymerase chain reaction is the diagnostic test for COVID-19, serological assays have a role in patients with delayed presentation. We describe the clinical features and multimodal imaging findings in a patient who presented with features of central retinal artery occlusion with cilioretinal artery sparing wherein his ophthalmic condition led to the diagnosis of previously undetected COVID-19 through serology. To the best of our knowledge, this is the first documentation of a case of isolated central retinal artery occlusion leading to a retrospective diagnosis of COVID-19.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2022;volume=15;issue=2;spage=234;epage=236;aulast=Lekhacentral retinal artery occlusioncovid-19igg antibodyserology |
| spellingShingle | T Lekha Rosina Thomas Anantharaman Giridhar Mahesh Gopalakrishnan Retrospective diagnosis of COVID-19 following the detection of central retinal artery occlusion Oman Journal of Ophthalmology central retinal artery occlusion covid-19 igg antibody serology |
| title | Retrospective diagnosis of COVID-19 following the detection of central retinal artery occlusion |
| title_full | Retrospective diagnosis of COVID-19 following the detection of central retinal artery occlusion |
| title_fullStr | Retrospective diagnosis of COVID-19 following the detection of central retinal artery occlusion |
| title_full_unstemmed | Retrospective diagnosis of COVID-19 following the detection of central retinal artery occlusion |
| title_short | Retrospective diagnosis of COVID-19 following the detection of central retinal artery occlusion |
| title_sort | retrospective diagnosis of covid 19 following the detection of central retinal artery occlusion |
| topic | central retinal artery occlusion covid-19 igg antibody serology |
| url | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2022;volume=15;issue=2;spage=234;epage=236;aulast=Lekha |
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