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[Tonic pupil after COVID-19 infection]
B A Quijano-Nieto1, C M Córdoba-Ortega2
1Unidad de Retina y Vítreo, Instituto Mácula y Retina, Oftalmocenter. Unidad de Oftalmología de la Universidad Nacional de Colombia y de la Universidad Militar Nueva Granada, Bogotá, Colombia.
Archivos De La Sociedad Espanola De Oftalmologia
|October 11, 2021
Summary
A patient developed a bilateral tonic pupil after COVID-19 infection. Standard brain imaging and lab tests were normal, but a pilocarpine test confirmed the diagnosis of Adie syndrome.
Area of Science:
- Neurology
- Ophthalmology
- Infectious Diseases
Context:
- The COVID-19 pandemic has led to a rise in reported neurological complications.
- Post-infectious neurological sequelae are increasingly recognized following viral illnesses.
Purpose:
- To report a case of bilateral tonic pupil as a rare neurological complication following COVID-19.
- To highlight the diagnostic utility of the pilocarpine test in suspected Adie syndrome.
Summary:
- A case study of a patient presenting with bilateral tonic pupil after COVID-19 infection.
- Brain MRI and laboratory investigations were unremarkable.
- A 0.125% pilocarpine test confirmed the diagnosis of tonic pupil, suggesting Adie syndrome.
Impact:
- This case expands the spectrum of known neurological complications associated with COVID-19.
- It underscores the importance of considering Adie syndrome in patients with pupillary abnormalities post-COVID-19.
- The findings may aid clinicians in diagnosing similar post-viral neurological presentations.
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