Bilateral Acute Macular Neuroretinopathy after COVID-19 Vaccination and Infection
| Autor: | Sunil, Bellur, Alexander, Zeleny, Marena, Patronas, Kim, Jiramongkolchai, Shilpa, Kodati |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Ocular Immunology and Inflammation. :1-4 |
| ISSN: | 1744-5078 0927-3948 |
| DOI: | 10.1080/09273948.2022.2093753 |
| Popis: | To describe a case of acute macular neuroretinopathy (AMN) in a patient with recent COVID-19 vaccination and infection who demonstrated atypical features on presentation.A 64-year-old woman presented with central vision loss in both eyes (OU). She had recently received the Moderna COVID-19 vaccine and rapidly developed systemic symptoms. Testing revealed COVID-19 infection. Visual acuities were 20/200 OU and near-infrared reflectance revealed hypo-reflective lesions in the maculae OU, optical coherence tomography (OCT) showed outer nuclear layer thinning and ellipsoid zone disruption OU, and OCT-angiography showed flow voids in the deep capillary plexus and choriocapillaris OU, all consistent with AMN. She was treated with oral prednisone with subsequent mild vision improvement and persistent scotomas.COVID-19 associated AMN can present with a more severe clinical presentation than classically seen in AMN. Ischemic and inflammatory changes due to COVID-19 infection may contribute to this more advanced presentation. |
| Databáze: | OpenAIRE |
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