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Multiple Evanescent White Dot Syndrome Associated with Coronavirus Infection: A Case Report
Antoaneta Adzic Zecevic1, Dragan Vukovic2, Maja Djurovic3
1Eye Clinic, Clinical Center of Montenegro and Medical Faculty, University of Montenegro, Podgorica, Montenegro.
Iranian Journal of Medical Sciences
|January 23, 2023
Summary
COVID-19 can cause rare eye problems, including a specific retinal condition called Multiple Evanescent White Dot Syndrome (MEWDS). Early fundus screening is recommended for patients with COVID-19 to detect these rare retinal complications.
Area of Science:
- Ophthalmology and Virology
- Retinal diseases and infectious complications
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, presents with ocular manifestations in about 11% of cases.
- Common ocular symptoms include conjunctivitis, while less frequent issues involve anterior segment abnormalities and posterior segment vascular changes.
- This study focuses on a rare posterior segment manifestation: Multiple Evanescent White Dot Syndrome (MEWDS).
Observation:
- A 40-year-old female experienced sudden vision impairment 14 days post-positive SARS-CoV-2 PCR test.
- Ophthalmic examinations, including fundoscopy, OCT, and FA, revealed retinal changes consistent with MEWDS.
- Extensive tests excluded other common causes of multifocal retinitis.
Findings:
- The patient's retinal condition was diagnosed as MEWDS, a rare complication of COVID-19.
- This case highlights a novel association between SARS-CoV-2 infection and MEWDS.
Implications:
- Fundus examination is crucial for early detection of retinal changes in COVID-19 patients.
- This non-invasive screening method can help identify rare ocular complications like MEWDS.
- Understanding these associations aids in comprehensive patient management and diagnosis of COVID-19-related eye conditions.
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