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Ocular and Neuro-ophthalmic Manifestations Post COVID-19 Infection
Bipin Bista1, Reena Yadav2, Sharad Gupta2
1B.P. Koirala Lions Center for Ophthalmic Studies, IOM, TUTH, Nepal.
A COVID-19 patient developed a dendritic ulcer and lateral rectus palsy, causing double vision. Prompt antiviral and vision therapy led to improvement, highlighting the need for ophthalmic evaluation in COVID-19 cases.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- COVID-19 has been linked to various neurological complications.
- Ocular manifestations, though less common, require thorough investigation.
Observation:
- A 39-year-old male post-COVID-19 infection presented with a left eye dendritic corneal ulcer.
- He subsequently developed diplopia and restricted extraocular motility (levo-lateral gaze), indicative of lateral rectus palsy.
- Slit lamp examination confirmed the dendritic corneal lesion and superficial punctate keratitis.
Findings:
- The patient experienced gradual improvement with topical/systemic antiviral therapy and orthoptic exercises.
- This case suggests a potential neuro-ophthalmic link to COVID-19, specifically affecting cranial nerves controlling eye movement.
Implications:
- Symptomatic COVID-19 patients warrant comprehensive neurological and ophthalmic assessments.
- Early diagnosis and management of neuro-ophthalmic complications are crucial for patient recovery.
- Further research is needed to elucidate the clinicopathological mechanisms of COVID-19's impact on the neurological system.
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