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Central retinal vein occlusion with COVID-19 infection as the presumptive etiology

Jaydeep A Walinjkar1, Sneha C Makhija1, Hitesh R Sharma1

  • 1Vitreo-Retina Department, Aditya Jyot Eye Hospital, Mumbai, Maharashtra, India.

Indian Journal of Ophthalmology
|October 30, 2020
PubMed

Insights

Coronavirus disease (COVID-19) can cause serious blood clots. This case highlights a rare instance of central retinal vein occlusion in a young patient, potentially linked to a recent COVID-19 infection.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Vascular Medicine

Background:

  • Thromboembolic events are recognized complications of Coronavirus disease 2019 (COVID-19).
  • Ocular manifestations of COVID-19 are typically limited to non-vision-threatening conditions such as conjunctivitis.
  • Central retinal vein occlusion (CRVO) is a serious vascular event in the eye.

Observation:

  • A 17-year-old female presented with symptoms of central retinal vein occlusion.
  • The patient was unaware of a recent Coronavirus disease 2019 (COVID-19) infection at the time of presentation.
  • Diagnostic workup confirmed recent past COVID-19 infection.

Findings:

  • The case presents a rare instance of central retinal vein occlusion (CRVO) in a young patient.
  • Coronavirus disease 2019 (COVID-19) is identified as the presumed etiological factor for the CRVO.
  • This suggests a potential link between COVID-19 and severe ocular vascular events, even in younger individuals.

Implications:

  • This case expands the spectrum of known ocular manifestations associated with Coronavirus disease 2019 (COVID-19).
  • It underscores the importance of considering COVID-19 as a potential trigger for thromboembolic events, including those affecting the retinal vasculature.
  • Further research is warranted to understand the mechanisms linking COVID-19 to CRVO and to inform clinical management strategies.

Keywords:
Central retinal vein occlusioncoronaviruscovid19ocular manifestations of covid-19

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