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Coronavirus disease-2019 (COVID-19) can cause vision loss due to acute outer retinopathy. This rare condition involves inflammatory retinal changes that improve with steroid treatment.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Retinal Imaging

Background:

  • Coronavirus disease-2019 (COVID-19) is a global pandemic.
  • Ophthalmic manifestations of COVID-19 are increasingly reported.
  • Acute outer retinopathy is a rare cause of vision loss.

Observation:

  • A 40-year-old female presented with acute vision loss in her right eye.
  • She had recent symptoms of fever and myalgias and tested positive for COVID-19.
  • Systemic laboratory tests were unremarkable.

Findings:

  • Multimodal retinal imaging revealed findings consistent with white-dot-like outer retinopathy.
  • The patient was treated with systemic prednisone.
  • Significant improvement in vision, symptoms, and retinal imaging was observed within 10 days of steroid initiation.

Implications:

  • COVID-19 can be associated with inflammatory outer retinal disease.
  • This case highlights a rare but significant cause of vision loss in COVID-19 patients.
  • Prompt diagnosis and treatment with corticosteroids may lead to visual recovery.