A case of neuro retinitis in association with COVID-19

Abstract

A 36-year-old female presented with blurring of vision in one eye for 10 days after 1 month of an episode of COVID-19 infection. Her fundus showed disc edema with blurring of margins along with exudation around the fovea. Her C-reactive protein levels were raised. She responded well to oral steroids. A likely association with COVID-19 infection and its associated immune response was suspected.

Alterations in the optic nerve and retina in patients with COVID-19. A theoretical review

“…SARS-CoV-2 infection is also known to cause a cytokine storm with consequent elevation of proinflammatory cytokines that provoke an exaggerated immune response causing tissue damage directly or indirectly by activating the coagulation cascade leading to the hypercoagulable state described above. 28 Thus, taking into account the history of COVID-19 viral infection 1–4 weeks previously 31 may present with neuroretinitis and maculopathy secondary to COVID-19.…”