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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Bilateral Multifocal Choroiditis following COVID-19 Vaccination.

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Summary

COVID-19 vaccination can trigger bilateral choroiditis, an inflammatory eye condition. Prompt corticosteroid treatment led to rapid visual recovery in a case report.

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COVID-19COVID-19 vaccinationCovishield vaccinechoroiditis following vaccinationuveitis following vaccination

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Area of Science:

  • Ophthalmology
  • Immunology
  • Vaccinology

Background:

  • The COVID-19 pandemic necessitated rapid vaccine development.
  • Adverse events following immunization (AEFIs) are monitored for vaccine safety.
  • Ocular inflammatory conditions can be triggered by various stimuli.

Observation:

  • A 34-year-old male experienced sudden visual loss one week post-second dose of COVID-19 vaccine.
  • Ophthalmic examination revealed bilateral choroidal thickening and macula serous detachment in the right eye.
  • Ocular ultrasonography confirmed severe choroidal thickening in both eyes.

Findings:

  • The patient's visual acuity and ocular structures improved rapidly following oral corticosteroid therapy.
  • Significant resolution of macular edema and choroidal thickening was observed within two weeks.
  • Complete visual recovery was achieved subsequently.

Implications:

  • This case suggests a potential link between COVID-19 vaccination and inflammatory/autoimmune ocular responses.
  • Ophthalmologists should consider vaccination as a potential trigger for uveitis and related conditions.
  • Early diagnosis and corticosteroid treatment are crucial for favorable visual outcomes in post-vaccination ocular inflammation.