The Implications of SARS-CoV-2 Infection in a Series of Neuro-Ophthalmological Manifestations—Case Series and Literature Review
The global pandemic impact of the COVID-19 infection included clinical manifestations that affected several organs and systems, with various neuro-ophthalmological manifestations associated with the infection. These are rare and occur either secondary to the presence of the virus or by an autoimmune...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/11/3795 |
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| author | Nicoleta Anton Camelia Margareta Bogdănici Daniel Constantin Brănișteanu Ovidiu-Dumitru Ilie Irina Andreea Pavel Bogdan Doroftei |
| author_facet | Nicoleta Anton Camelia Margareta Bogdănici Daniel Constantin Brănișteanu Ovidiu-Dumitru Ilie Irina Andreea Pavel Bogdan Doroftei |
| author_sort | Nicoleta Anton |
| collection | DOAJ |
| description | The global pandemic impact of the COVID-19 infection included clinical manifestations that affected several organs and systems, with various neuro-ophthalmological manifestations associated with the infection. These are rare and occur either secondary to the presence of the virus or by an autoimmune mechanism secondary to viral antigens. The manifestations are atypical, being present even in the absence of the systemic symptoms typical of a SARS-CoV-2 infection. In this article, we introduce a series of three clinical cases with neuro-ophthalmological manifestations associated with COVID infection that were shown in Ophthalmology Clinic of St. Spiridon Emergency Hospital. Case 1 is that of a 45-year-old male patient with no personal history of general pathology or ophthalmology, with binocular diplopia, painful red eyes, and lacrimal hypersecretion with a sudden onset of about 4 days. Based on the evaluations, a positive diagnosis of orbital cellulitis in both eyes is made. Case 2 is that of a 52-year-old female patient with general PPA (personal pathological antecedents) of SARS-CoV-2 infection 1 month prior to presentation with decreased visual acuity in the right eye and a positive central scotoma, preceded by photopsia and vertigo with balance disorders. The diagnosis is made at the right eye for retrobulbar optic neuritis and post-SARS-CoV-2 infection status. The last clinical case is that of a 55-year-old male patient known to have high blood pressure (HBP) with a sudden, painless decrease in VARE approximately 3 weeks post-SARS-CoV-2 immunization (Pfizer vaccine first dose). The diagnosis is made after consulting all the RE results for central retinal vein thrombosis. Conclusions: Although the cases were quickly and efficiently investigated and the treatment was administered adequately by a multidisciplinary team (cases 1 and 3), the evolution was not favorable in all three situations. Atypical neuro-ophthalmological manifestations can also be present in the absence of systemic symptoms typical of SARS-CoV-2 infection. |
| first_indexed | 2024-03-11T03:04:04Z |
| format | Article |
| id | doaj.art-d28f16a99b4643ec8bcbd45fa4d74bb1 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T03:04:04Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-d28f16a99b4643ec8bcbd45fa4d74bb12023-11-18T08:06:31ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-011211379510.3390/jcm12113795The Implications of SARS-CoV-2 Infection in a Series of Neuro-Ophthalmological Manifestations—Case Series and Literature ReviewNicoleta Anton0Camelia Margareta Bogdănici1Daniel Constantin Brănișteanu2Ovidiu-Dumitru Ilie3Irina Andreea Pavel4Bogdan Doroftei5Surgery Department, Faculty of Medicine, University of Medicine and Pharmacy, 700115 Iasi, RomaniaSurgery Department, Faculty of Medicine, University of Medicine and Pharmacy, 700115 Iasi, RomaniaSurgery Department, Faculty of Medicine, University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Biology, Faculty of Biology, Alexandru Ioan Cuza University, 700505 Iasi, RomaniaSurgery Department, Faculty of Medicine, University of Medicine and Pharmacy, 700115 Iasi, RomaniaSurgery Department, Faculty of Medicine, University of Medicine and Pharmacy, 700115 Iasi, RomaniaThe global pandemic impact of the COVID-19 infection included clinical manifestations that affected several organs and systems, with various neuro-ophthalmological manifestations associated with the infection. These are rare and occur either secondary to the presence of the virus or by an autoimmune mechanism secondary to viral antigens. The manifestations are atypical, being present even in the absence of the systemic symptoms typical of a SARS-CoV-2 infection. In this article, we introduce a series of three clinical cases with neuro-ophthalmological manifestations associated with COVID infection that were shown in Ophthalmology Clinic of St. Spiridon Emergency Hospital. Case 1 is that of a 45-year-old male patient with no personal history of general pathology or ophthalmology, with binocular diplopia, painful red eyes, and lacrimal hypersecretion with a sudden onset of about 4 days. Based on the evaluations, a positive diagnosis of orbital cellulitis in both eyes is made. Case 2 is that of a 52-year-old female patient with general PPA (personal pathological antecedents) of SARS-CoV-2 infection 1 month prior to presentation with decreased visual acuity in the right eye and a positive central scotoma, preceded by photopsia and vertigo with balance disorders. The diagnosis is made at the right eye for retrobulbar optic neuritis and post-SARS-CoV-2 infection status. The last clinical case is that of a 55-year-old male patient known to have high blood pressure (HBP) with a sudden, painless decrease in VARE approximately 3 weeks post-SARS-CoV-2 immunization (Pfizer vaccine first dose). The diagnosis is made after consulting all the RE results for central retinal vein thrombosis. Conclusions: Although the cases were quickly and efficiently investigated and the treatment was administered adequately by a multidisciplinary team (cases 1 and 3), the evolution was not favorable in all three situations. Atypical neuro-ophthalmological manifestations can also be present in the absence of systemic symptoms typical of SARS-CoV-2 infection.https://www.mdpi.com/2077-0383/12/11/3795optic neuritisorbital cellulitisanterior ischemic optic neuropathyvenous thrombosisocular pathologySARS-CoV-2 |
| spellingShingle | Nicoleta Anton Camelia Margareta Bogdănici Daniel Constantin Brănișteanu Ovidiu-Dumitru Ilie Irina Andreea Pavel Bogdan Doroftei The Implications of SARS-CoV-2 Infection in a Series of Neuro-Ophthalmological Manifestations—Case Series and Literature Review Journal of Clinical Medicine optic neuritis orbital cellulitis anterior ischemic optic neuropathy venous thrombosis ocular pathology SARS-CoV-2 |
| title | The Implications of SARS-CoV-2 Infection in a Series of Neuro-Ophthalmological Manifestations—Case Series and Literature Review |
| title_full | The Implications of SARS-CoV-2 Infection in a Series of Neuro-Ophthalmological Manifestations—Case Series and Literature Review |
| title_fullStr | The Implications of SARS-CoV-2 Infection in a Series of Neuro-Ophthalmological Manifestations—Case Series and Literature Review |
| title_full_unstemmed | The Implications of SARS-CoV-2 Infection in a Series of Neuro-Ophthalmological Manifestations—Case Series and Literature Review |
| title_short | The Implications of SARS-CoV-2 Infection in a Series of Neuro-Ophthalmological Manifestations—Case Series and Literature Review |
| title_sort | implications of sars cov 2 infection in a series of neuro ophthalmological manifestations case series and literature review |
| topic | optic neuritis orbital cellulitis anterior ischemic optic neuropathy venous thrombosis ocular pathology SARS-CoV-2 |
| url | https://www.mdpi.com/2077-0383/12/11/3795 |
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