Acute Bilateral Neuroretinitis and Panuveitis in A Patient with Coronavirus Disease 2019: A Case Report

Hosseini, Seyedeh Maryam; Abrishami, Mojtaba; Zamani, Ghodsieh; Hemmati, Armin; Momtahen, Solmaz; Hassani, Mohadeseh; Omidtabrizi, Arash

doi:10.1080/09273948.2021.1894457

Cited by 22 publications

(11 citation statements)

References 19 publications

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“…Similar to the case reported by Hosseini et al ,[ 28 ] one patient in our study required IVMP to control the inflammation.…”

Section: Discussionsupporting

confidence: 88%

“…Panuveitis with optic neuritis has been reported both as an initial presentation of COVID-19 and following recovering from COVID-19. [ 27 28 ]…”

Section: Discussionmentioning

confidence: 99%

“…SARS-CoV2-RNA has been detected in the vitreous sample of a patient with bilateral panuveitis and optic neuritis 1 month following COVID-19 infection. [ 28 ]…”

Section: Discussionmentioning

confidence: 99%

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An analysis of the clinical profile of patients with uveitis following COVID-19 infection

Ganesh

Mohanan-Earatt²

2022

Indian Journal of Ophthalmology

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Purpose: To describe the clinical profile of patients presenting with uveitis following COVID-19 infection at a tertiary care eye hospital in South India. Methods: In this retrospective chart review, all consecutive cases presenting with an acute episode of intraocular inflammation and a history of COVID-19 infection diagnosed within the preceding 6 weeks, between March 2020 and September 2021, were included. Data retrieved and analyzed included age, sex, laterality of uveitis, and site of inflammation. The diagnosis was categorized based on the SUN working group classification criteria for uveitis. Details regarding clinical features, investigations, ophthalmic treatment given, response to treatment, ocular complications, and status at last visit were also accessed. Statistical analysis of demographical data was done using Microsoft Excel 2019. Results: Twenty-one eyes of 13 patients were included in this hospital-based retrospective observational study. The study included six male and seven female patients. The mean age was 38 ± 16.8 years. Eight patients had bilateral involvement. Seven patients were diagnosed with anterior uveitis, three with intermediate uveitis, one with posterior uveitis, and two with panuveitis. All patients responded well to treatment and were doing well at their last visit. Two patients had complications that necessitated surgical treatment, following which they recovered good visual outcomes. Conclusion: With prompt diagnosis and appropriate management, all the patients with uveitis post-COVID-19 infection recovered with good visual outcomes. Thus, ophthalmologists must be aware of the possible uveitic manifestations following even uneventful COVID-19 infection.

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“…Similar to the case reported by Hosseini et al ,[ 28 ] one patient in our study required IVMP to control the inflammation.…”

Section: Discussionsupporting

confidence: 88%

“…Panuveitis with optic neuritis has been reported both as an initial presentation of COVID-19 and following recovering from COVID-19. [ 27 28 ]…”

Section: Discussionmentioning

confidence: 99%

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An analysis of the clinical profile of patients with uveitis following COVID-19 infection

Ganesh

Mohanan-Earatt²

2022

Indian Journal of Ophthalmology

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“…Hosseini et al reported bilateral neuroretinitis and panuveitis in a 37-year-old male patient with a history of recovered COVID-19. This patient had similarities with our patient regarding bilateral involvement; however, encephalitis was not reported in this case [ 24 ].…”

Section: Discussionsupporting

confidence: 72%

Simultaneous Encephalitis and Neuroretinitis After COVID-19 in a Young Adult: A Case Report

Poursadeghfard

Dorche

Nemati³

et al. 2021

J Neurol Res

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Coronavirus disease 2019 (COVID-19) pandemic greatly impacted many aspects of life in the world. Both neurological and ophthalmologic presentations after COVID-19 have been reported. Herein, we present a case of both neuroretinitis and encephalitis after COVID-19 in a young adult. Both presentations are among the rare presentations of COVID-19. Similar manifestations were not reported previously. The 18-year-old previously healthy girl initially presented with low-grade fever, nausea, vomiting, body pain, and headache. The patient tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse transcriptase-polymerase chain reaction (PCR) by using a nasal swab. Two days after the onset of COVID-19 symptoms, she reported blurred vision in both eyes, progressing to only light perception in 3 days. Based on the ophthalmological evaluation, she was diagnosed with neuroretinitis. A few days later, she gradually became drowsy, so she was referred for neurological evaluation. Brain magnetic resonance imaging (MRI) showed bilateral medial temporal T2 and fluid-attenuated inversion recovery (FLAIR) hyper-signal lesions suggestive of encephalitis. A low-dose steroid was started to treat the neuroretinitis. After about 2 weeks, significant improvement in visual acuity and resolution of retinitis patches were observed. Our case is rare in respect of both neurological and ophthalmic involvement.

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“…Hosseini et al . [ 4 ] reported a case of bilateral panueveitis and neuroretinitis in a patient 1 month after an episode of COVID-19 infection. Since then, multiple similar presentations have emerged.…”

Section: Discussionmentioning

confidence: 99%

A case of neuro retinitis in association with COVID-19

Mahajan

Phuljhele

Dhiman

2022

Indian Journal of Ophthalmology

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Acute Bilateral Neuroretinitis and Panuveitis in A Patient with Coronavirus Disease 2019: A Case Report

Cited by 22 publications

References 19 publications

An analysis of the clinical profile of patients with uveitis following COVID-19 infection

An analysis of the clinical profile of patients with uveitis following COVID-19 infection

Simultaneous Encephalitis and Neuroretinitis After COVID-19 in a Young Adult: A Case Report

A case of neuro retinitis in association with COVID-19

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