Acute macular neuroretinopathy following Moderna COVID-19 vaccination

Abstract Purpose To describe the occurrence of an acute macular neuroretinopathy (AMN) after administration of a Moderna COVID-19 Vaccine. Methods Case report. Results A 23-year-old female presented bilateral visual loss one week after the first dose of COVID-19 vaccine. Fundus examination revealed...

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Main Authors: Olena Protsyk, Roberto Gallego-Pinazo, Rosa Dolz-Marco
Format: Article
Language:English
Published: SpringerOpen 2023-06-01
Series:Journal of Ophthalmic Inflammation and Infection
Subjects:
Online Access:https://doi.org/10.1186/s12348-023-00354-1
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author Olena Protsyk
Roberto Gallego-Pinazo
Rosa Dolz-Marco
author_facet Olena Protsyk
Roberto Gallego-Pinazo
Rosa Dolz-Marco
author_sort Olena Protsyk
collection DOAJ
description Abstract Purpose To describe the occurrence of an acute macular neuroretinopathy (AMN) after administration of a Moderna COVID-19 Vaccine. Methods Case report. Results A 23-year-old female presented bilateral visual loss one week after the first dose of COVID-19 vaccine. Fundus examination revealed the classic wedge-shaped lesions with petaloid configuration around both foveas. Hypo-reflective macular lesions are evident in the near-infrared reflectance image. The spectral-domain optical coherence tomography reveled hyperreflectivity of the outer nuclear and plexiform layers, attenuation of the ellipsoid zone and disruption of interdigitation zone corresponding to the lesions. Conclusions Despite the large number of doses of COVID-19 vaccines administered worldwide, there are not many reported cases of AMN. Most of them occurred after viral vector vaccines. Described here is one of the few cases that observed a time period of several days after receiving the Moderna messenger RNA vaccine. It is not possible to establish causality although this suggests an inflammatory or autoimmune response to the vaccine.
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spelling doaj.art-c8893c19391a4b9097b9f84a6cd27c392023-07-02T11:23:01ZengSpringerOpenJournal of Ophthalmic Inflammation and Infection1869-57602023-06-011311410.1186/s12348-023-00354-1Acute macular neuroretinopathy following Moderna COVID-19 vaccinationOlena Protsyk0Roberto Gallego-Pinazo1Rosa Dolz-Marco2Department of Ophthalmology, Jaen University HospitalUnit of Macula, Oftalvist ClinicUnit of Macula, Oftalvist ClinicAbstract Purpose To describe the occurrence of an acute macular neuroretinopathy (AMN) after administration of a Moderna COVID-19 Vaccine. Methods Case report. Results A 23-year-old female presented bilateral visual loss one week after the first dose of COVID-19 vaccine. Fundus examination revealed the classic wedge-shaped lesions with petaloid configuration around both foveas. Hypo-reflective macular lesions are evident in the near-infrared reflectance image. The spectral-domain optical coherence tomography reveled hyperreflectivity of the outer nuclear and plexiform layers, attenuation of the ellipsoid zone and disruption of interdigitation zone corresponding to the lesions. Conclusions Despite the large number of doses of COVID-19 vaccines administered worldwide, there are not many reported cases of AMN. Most of them occurred after viral vector vaccines. Described here is one of the few cases that observed a time period of several days after receiving the Moderna messenger RNA vaccine. It is not possible to establish causality although this suggests an inflammatory or autoimmune response to the vaccine.https://doi.org/10.1186/s12348-023-00354-1Acute macular neuroretinopathyCOVID-19Moderna mRNA vaccine
spellingShingle Olena Protsyk
Roberto Gallego-Pinazo
Rosa Dolz-Marco
Acute macular neuroretinopathy following Moderna COVID-19 vaccination
Journal of Ophthalmic Inflammation and Infection
Acute macular neuroretinopathy
COVID-19
Moderna mRNA vaccine
title Acute macular neuroretinopathy following Moderna COVID-19 vaccination
title_full Acute macular neuroretinopathy following Moderna COVID-19 vaccination
title_fullStr Acute macular neuroretinopathy following Moderna COVID-19 vaccination
title_full_unstemmed Acute macular neuroretinopathy following Moderna COVID-19 vaccination
title_short Acute macular neuroretinopathy following Moderna COVID-19 vaccination
title_sort acute macular neuroretinopathy following moderna covid 19 vaccination
topic Acute macular neuroretinopathy
COVID-19
Moderna mRNA vaccine
url https://doi.org/10.1186/s12348-023-00354-1
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