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Endogenous endophthalmitis in post-COVID-19 patients: a case report
Santosh Chaudhary1, Ranju K Sitaula2, Pratap Karki2
1Department of Ophthalmology, B.P. Koirala Institute of Health Sciences, Dharan.
Annals of Medicine and Surgery (2012)
|August 9, 2023
Summary
Two COVID-19 survivors developed rare endogenous endophthalmitis (EE) after hospitalization and steroid treatment. Prompt diagnosis and treatment are crucial for preventing severe vision loss in these high-risk patients.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Critical Care Medicine
Background:
- Ocular complications in COVID-19 can arise from direct viral effects or immunosuppression.
- Hospitalized COVID-19 patients are prone to secondary infections.
Purpose of the Study:
- To report two rare cases of endogenous endophthalmitis (EE) in patients recovered from COVID-19.
Main Methods:
- Two patients with COVID-19 pneumonia treated with remdesivir and systemic steroids presented with decreased vision.
- Diagnostic vitreous tap, pars plana vitrectomy, and intravitreal antibiotics/steroids were administered.
- Cultures of vitreous fluid were negative; urine culture in one case showed Escherichia coli.
Main Results:
- Both patients were diagnosed with endogenous endophthalmitis.
- Visual acuity outcomes were poor, with no light perception in one and light perception in the other.
Conclusions:
- Hospitalized severe COVID-19 patients, especially those with comorbidities like diabetes and on systemic steroids, are at high risk for EE.
- Delayed diagnosis and treatment significantly worsen visual outcomes.
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