Purtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation

Autor: Effie Z. Rahman, Pooja Shah, Jeremy E. Ong, Morton Goldberg, Sally S. Ong
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: American Journal of Ophthalmology Case Reports, Vol 24, Iss , Pp 101229- (2021)
Druh dokumentu: article
ISSN: 2451-9936
DOI: 10.1016/j.ajoc.2021.101229
Popis: Purpose: To describe a unique case of Purtscher-like retinopathy after a severe, complicated COVID-19 course which included development of disseminated intravascular coagulation (DIC). Observations: A 58-year-old male developed blurry vision in the left eye one week after being discharged from the hospital for severe COVID-19 pneumonia and DIC. He had been intubated and ventilated for 5 days. Fundus examination revealed optic nerve hyperemia in the right eye, optic nerve pallor in the left eye, arteriolar attenuation, multiple cotton wool spots and ill-defined areas of retinal whitening in the posterior pole in both eyes. His exam findings were most consistent with Purtscher-like retinopathy in both eyes. Conclusions and Importance: While several cases of central retinal artery and vein occlusion have been described in COVID-19 patients thus far, there has not been any reported cases of Purtscher-like retinopathy. To the best of our knowledge, this is the first case of Purtscher-like retinopathy in a patient who developed DIC during a severe COVID-19 infection.
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