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Acute macular neuroretinopathy associated with COVID-19 infection
James A David1, George D Fivgas1,2
1Louisiana State University Health Sciences Center, Department of Ophthalmology, 533 Bolivar St, Room 451B, New Orleans, LA, 70112, USA.
Purpose:
To report a case of bilateral acute macular neuroretinopathy (AMN) associated with a COVID-19 infection.
Observations:
A 22-year-old female was referred for evaluation of bilateral scotomas concurrent with a mildly symptomatic COVID-19 infection. Exam showed normal visual acuity, bilateral reddish-brown petaloid retinal lesions which were hyporeflective on near infrared (NIR) optical coherence tomography (OCT), and had associated hypoperfusion of the deep vascular plexus on OCT-angiography (OCT-A) consistent with bilateral AMN. At follow-up, scotomas and retinal findings on near infrared imaging and spectral-domain optical coherence tomography had only slightly improved.
Conclusions:
COVID-19 has been documented to be the etiology of a growing number of ocular manifestations including microvascular events. We report a case of bilateral acute macular neuroretinopathy in a patient with a recent diagnosis of COVID-19 infection that had persistent symptoms and findings at six month follow-up.
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