Recurrent Anterior Non-necrotizing Scleritis as an Adverse Event of ChAdOx1 nCoV-19 (Vaxzevria) Vaccine

Ocul Immunol Inflamm. 2022 Jul;30(5):1247-1249. doi: 10.1080/09273948.2022.2044058. Epub 2022 Apr 8.

Abstract

Purpose: To describe a case of anterior scleritis related to SARS-CoV-2 vaccine. SARS-CoV-2 vaccines appear safe; however vaccination has triggered thromboembolic events in predisposed patients.

Methods: A retrospective case report of anterior scleritis in a woman following administration of both ChAdOx1nCoV-19 vaccine doses was studied by complete ophthalmologic examination and complementary tests.

Results: The patient has overcome SARS-CoV-2 infection a year prior. Ancillary tests including autoimmune and infectious diseases were negative. The chronology between ChAdOx1nCoV-19 vaccine and the sequential episodes of scleritis may have a cause-and-effect relationship.

Conclusion: Ophthalmologists may be aware of scleritis as an ocular manifestation following ChAdOx1nCoV-19 vaccine, in otherwise healthy patients.

Keywords: AstraZeneca vaccine; COVID-19; ChAdOx1nCoV-19; SARS-CoV-2; scleritis; vasculitis.

Publication types

  • Case Reports

MeSH terms

  • COVID-19 Vaccines* / adverse effects
  • COVID-19*
  • ChAdOx1 nCoV-19
  • Female
  • Humans
  • Retrospective Studies
  • SARS-CoV-2
  • Scleritis* / chemically induced
  • Scleritis* / diagnosis
  • Vaccination / adverse effects

Substances

  • ChAdOx1 nCoV-19
  • COVID-19 Vaccines