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.

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