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Simultaneous Bilateral Central Retinal Artery Occlusion following COVID-19 Infection

Maneesh M Bapaye1, Akshay Gopinathan Nair1,2,3, Charuta M Bapaye1

  • 1Bapaye Eye Hospital, Nashik, Maharashtra, India.

Ocular Immunology and Inflammation
|April 15, 2021
PubMed

Insights

Coronavirus-19 disease (COVID-19) can cause serious eye problems, including simultaneous bilateral retinal artery occlusion. This case highlights the potential for severe thrombotic events and long-term vision complications following COVID-19 infection.

Area of Science:

  • Ophthalmology
  • Hematology
  • Infectious Diseases

Background:

  • Coronavirus-19 disease (COVID-19) is linked to an increased risk of thrombotic events.
  • Understanding the ocular manifestations of COVID-19 is crucial for patient management.

Observation:

  • A 42-year-old male presented with sudden, bilateral vision loss post-COVID-19.
  • Ophthalmic examination revealed bilateral retinal edema and cherry-red spots.
  • Optical coherence tomography confirmed retinal thickening, with outer retinal layers intact.

Findings:

  • The patient experienced simultaneous bilateral retinal artery occlusion.
  • Coagulation profiles and tests for vasculitis were within normal limits.
  • COVID-19 is associated with a hypercoagulable state, increasing thrombosis risk.

Implications:

  • COVID-19 can lead to acquired thrombophilia and hyperinflammation.
  • Ophthalmologists and physicians must recognize potential long-term thrombotic sequelae of COVID-19.
  • Awareness of these risks is vital for timely diagnosis and intervention in COVID-19 patients.

Keywords:
CRAOCRVOCoronavirusembolismretinal ischemiaretinal vascular occlusion

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