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A COVID-19-Related Retinopathy Case Report
Eleonora Riotto1, Vladimir Mégevand2, Alexis Mégevand1
1University Hospitals of Geneva, Faculty of Medicine, Geneva, Switzerland.
Case Reports in Ophthalmology
|June 15, 2022
Summary
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) can cause ocular issues like cotton wool spots. Retinal screening is vital for detecting these systemic vascular changes, even without eye symptoms.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Vascular Medicine
Background:
- The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic has highlighted multi-organ effects, including ocular manifestations.
- While many COVID-19 patients experience systemic symptoms, ocular involvement can occur even in mild or asymptomatic cases.
Observation:
- A case study details a patient with COVID-19 who developed progressive bilateral cotton wool spots within a week.
- These retinal changes were observed despite rapid systemic recovery and the absence of any ocular symptoms.
Findings:
- The study tracked the evolution of cotton wool spots over three months.
- Fundus examination revealed these retinal lesions as indicators of underlying systemic vascular changes related to COVID-19.
Implications:
- This case underscores the importance of routine retinal screening in COVID-19 patients, irrespective of reported ocular symptoms.
- Ophthalmic assessments, particularly fundus examinations, play a crucial role in identifying subclinical vascular complications associated with SARS-CoV-2 infection.
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