Ocular posterior segment complications following COVID-19 vaccination

Sadeghi, Elham; Mahmoudzadeh, Raziyeh; Nowroozzadeh, Mohammad Hossein

doi:10.1007/s10792-023-02795-y

Cited by 2 publications

(1 citation statement)

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“…Ocular complications related to COVID-19 vaccination, such as retinal vascular occlusion and vaccine-induced uveitis, have been documented. Although retinal vascular occlusions have been extensively reported [ 1 ], definitive consensus in cohort studies is lacking [ 2 , 3 ], and a clear causal relationship has not been established. Herein, we report a case of central retinal artery occlusion (CRAO) accompanied by paracentral acute middle maculopathy (PAMM) that developed the day after receiving the Pfizer COVID-19 vaccine, with a favorable visual outcome.…”

Section: Introductionmentioning

confidence: 99%

Recovery From Central Retinal Artery Occlusion Accompanying Paracentral Acute Middle Maculopathy After COVID-19 Vaccination

Yamagishi,

Kitamura,

Baba

2024

Cureus

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Although ocular complications following COVID-19 vaccination have been reported, particularly retinal vascular occlusion and uveitis, their definitive causal relationships remain uncertain. This report presents a case of central retinal artery occlusion (CRAO) with paracentral acute middle maculopathy (PAMM) developed one day after receiving Pfizer COVID-19 vaccine, with a favorable outcome. The patient experienced sudden vision loss in her left eye, and her vision dropped to hand motion the day after vaccination. The initial examination suggested CRAO, but optical coherence tomography (OCT) revealed PAMM. We administered intravenous d-mannitol and acetazolamide and performed ocular massage. Two days later, her corrected visual acuity improved to 0.4, and further improvement to 1.2 occurred after 16 days. To the best of our knowledge, no reports have documented CRAO with PAMM following mRNA COVID-19 vaccination. The relationship between COVID-19 vaccination and retinal vascular occlusion remains unknown, highlighting the need for further research.

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Section: Introductionmentioning

confidence: 99%