Covid-19-Associated Retinopathy: A Case Report

Ocul Immunol Inflamm. 2020 Nov 16;28(8):1293-1297. doi: 10.1080/09273948.2020.1825751. Epub 2020 Oct 6.

Abstract

A 53-year-old man presented with acute loss of vision, negative scotoma and dyschromatopsia in his left eye. He reported contact with people with severe respiratory syndrome - coronavirus-2 (SARS-CoV-2) 8 days prior symptoms. Funduscopic examination revealed several retinal hemorrhages. Spectral-domain optical coherence tomography showed lesions consistent with acute macular neuroretinopathy and paracentral acute middle maculopathy. Quickly after his presentation, SARSCov-2 was confirmed by chest computed tomography-scan and RT-PCR in this patient. Thrombotic complications associated with Covid-19 infection have high incidence and may involve the retina. We described a case of retinal involvement associated with Covid-19 infection.

Précis: Funduscopic examination revealed retinal hemorrhages in a man with loss of vision. Optical coherence tomography showed an acute macular neuroretinopathy and paracentral acute middle maculopathy. Coronavirus disease was confirmed by chest computed tomography-scan and RT-PCR.

Keywords: Covid-19; Retinal hemorrhages; acute macular neuroretinopathy; coronavirus disease; optical coherence tomography; paracentral acute middle maculopathy; roth spots.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / complications*
  • Coronavirus Infections / epidemiology
  • Fluorescein Angiography / methods*
  • Fundus Oculi
  • Humans
  • Macula Lutea / pathology*
  • Male
  • Middle Aged
  • Ophthalmoscopy
  • Pandemics
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / epidemiology
  • Retinal Diseases / diagnosis
  • Retinal Diseases / etiology*
  • SARS-CoV-2
  • Tomography, Optical Coherence / methods*
  • Visual Acuity*