Related Experiment Video
Updated: Sep 3, 2025

Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Acute Vision Loss and Conjunctival Hemorrhage as Telltale Symptoms of PIMS-TS
Houda Nassih1, Sara Belghmaidi1, Rabiy El Qadiry1
1Caddy Ayad University, Marrakesh, Morocco.
Insights
Pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) can cause severe eye issues like retinal detachment. Steroid treatment proved highly effective, leading to complete remission in a PIMS-TS patient within three months.
Area of Science:
- Ophthalmology
- Pediatrics
- Infectious Diseases
Background:
- The COVID-19 pandemic has seen a rise in pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS).
- PIMS-TS presents with diverse clinical manifestations, posing diagnostic challenges.
Observation:
- This report details the first pediatric case of PIMS-TS presenting with bilateral serous retinal detachment and conjunctival hemorrhage.
- These ocular findings served as a key indicator for diagnosing PIMS-TS.
Findings:
- Despite severe multisystemic involvement, the patient's condition was successfully managed with corticosteroid therapy.
- Complete remission of symptoms was achieved within three months of the initial presentation.
Implications:
- Ocular manifestations, such as retinal detachment, should be considered in the diagnostic workup of children with PIMS-TS.
- Early and appropriate treatment, including steroids, can lead to favorable outcomes in pediatric patients with PIMS-TS and severe ocular involvement.
Abstract:
There is a global concern about children presenting with inflammatory syndrome with variable clinical features during the ongoing COVID-19 pandemic. This paper reports the first pediatric case of bilateral serous retinal detachment and conjunctival hemorrhage as a revealing pattern of the pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS). Despite the severity of multisystemic involvement, the management with steroids was very successful. Complete remission was obtained within 3 months of acute onset.
Related Concept Videos
Glaucoma: Overview
Angle Closure Glaucoma: Treatment
Photoreceptors and Visual Pathways
Endocarditis II: Clinical Features of Infective Endocarditis

