Low Visual Acuity Due to Acute Macular Neuroretinopathy Associated with COVID-19: A Case Report
| Autor: | Eric Pinheiro de Andrade, Thaís Mota Gomes, Márgara Zanotele Hemerly de Almeida, Pedro Durães Serracarbassa, Mariana Nadais Aidar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Fovea Centralis Visual acuity Coronavirus disease 2019 (COVID-19) genetic structures White dot syndromes 030204 cardiovascular system & hematology 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Optical coherence tomography Foveal Ophthalmology Medicine medicine.diagnostic_test business.industry Fovea centralis COVID-19 Retinal General Medicine Articles medicine.disease Fluorescein angiography eye diseases medicine.anatomical_structure chemistry 030220 oncology & carcinogenesis sense organs medicine.symptom business |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Female, 71-year-old Final Diagnosis: Acute macular neuroretinopathy Symptoms: Anosmia • loss of vision Medication: — Clinical Procedure: — Specialty: Ophthalmology Objective: Rare co-existance of disease or pathology Background: Retinal sequelae have been reported in patients who have had COVID-19. This is a case report of acute macular neuroretinopathy (AMN), presenting with low visual acuity in the left eye, 14 days after the first symptoms of COVID-19 infection. Case Report: A 71-year-old woman presented for ophthalmological evaluation complaining of low visual acuity in the left eye, 14 days after the first symptoms of COVID-19 infection. COVID-19 was confirmed by a reverse-transcription polymerase chain reaction (RT-PCR) test. The left eye examination showed visual acuity of 0.5 logMAR, fundoscopy showed foveal pigment mobilization, fluorescein angiography revealed a hypofluorescent fovea surrounded by irregular hyperfluorescent defects, and spectral-domain optical coherence tomography showed central foveal thinning with disrupted interdigitation and ellipsoid zones. Given the clinical and imaging findings, the diagnosis of AMN was finalized. AMN usually resolves without specific treatment. Conclusions: This case report shows that patients with COVID-19 can develop retinal involvement. AMN can be due to a viral infection, including COVID-19, and usually resolves without specific treatment. In the present case, there was no improvement in the patient’s clinical condition in a 2-month follow-up to date. |
| Databáze: | OpenAIRE |
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