BILATERAL ACUTE MACULAR NEURORETINOPATHY IN ACUTE COVID-19 INFECTION: A CASE STUDY.

Q4 Medicine Ceska a Slovenska Oftalmologie Pub Date : 2023-01-01 DOI:10.31348/2023/21

N Ferková, H Hudečková, A Barnau

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Abstract

Aim: The aim of the present paper is to describe the case study of a female patient with bilateral AMN, suffering from active acute infection with COVID-19.

Methods: A 32-year-old female patient with impaired vision bilaterally persisting for 2 days reported to the emergency Department of Ophthalmology at the Central Military Hospital in Ružomberok, Slovakia. The patient manifested symptoms of COVID-19 infection persisting for 3 days before the onset of visual complaints.

Results: At the primary examination, initial best corrected central visual acuity was 20/40 bilaterally, paracentral scotomas were present more in the right eye. Upon examination of the ocular fundus, the edges of the optic nerve disc were out of focus more in the left eye; brownish red petaloid lesions were present around the fovea, the periphery was without pathological findings. OCT and OCTA were performed, with a conclusion of bilateral AMN upon a background of COVID-19 infection. Low molecular weight heparin (LMWH) was administered in a preventive dose.

Conclusion: The number of documented ocular complications of COVID-19 infection, including microvascular events, is currently increasing.

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急性COVID-19感染双侧急性黄斑神经视网膜病变一例研究

目的:本文的目的是描述一个女性双侧AMN患者的病例研究，患有活动性急性感染COVID-19。方法:斯洛伐克Ružomberok中央军事医院眼科急诊科收治1例双侧视力受损持续2天的32岁女性患者。患者出现COVID-19感染症状，持续3 d后出现视力不适。结果:初诊时，双侧最佳中央矫正视力为20/40，右眼中心旁暗点多见。眼底检查，左眼视神经盘边缘失焦较多;中心凹周围可见棕红色花瓣样病变，周围未见病理改变。在COVID-19感染背景下进行OCT和OCTA检查，得出双侧AMN的结论。给予低分子肝素(LMWH)预防剂量。结论:COVID-19感染的眼部并发症，包括微血管事件，目前呈增加趋势。

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Ceska a Slovenska Oftalmologie Medicine-Ophthalmology

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