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Orbital Cellulitis following COVID-19 Vaccination.
András Hári-Kovács1, Attila Vass1, Péter Lovas1
1Department of Ophthalmology, Albert Szent-Györgyi Medical Faculty, University of Szeged, Szeged, Hungary.
Case Reports in Ophthalmology
|May 25, 2022
Summary
Orbital cellulitis, an eye infection, may be a rare adverse event following COVID-19 vaccination. Prompt treatment with corticosteroids led to symptom resolution in this case.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Vaccinology
Background:
- Orbital cellulitis is a serious infection that requires prompt diagnosis and treatment.
- Adverse events following immunization (AEFI) are monitored for vaccine safety.
- COVID-19 vaccines have undergone rigorous testing, but rare side effects are still being identified.
Observation:
- A 72-year-old male presented with painful left eye protrusion, conjunctival chemosis, and external ophthalmoplegia.
- Symptoms began 9 days after his second SARS-CoV-2 vaccine (VeroCell) dose.
- The patient had a history of laryngeal edema after the first vaccine dose.
Findings:
- Orbital MRI ruled out pansinusitis as the cause of orbital cellulitis.
- COVID-19 tests were negative during hospitalization.
- Parenteral dexamethasone treatment resulted in rapid and complete symptom resolution.
Implications:
- This case suggests a potential causal relationship between COVID-19 vaccination and orbital cellulitis.
- Orbital cellulitis should be considered in the differential diagnosis of ocular AEFIs.
- Further research is needed to understand the mechanisms and incidence of this rare adverse event.
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