Optic neuropathies post-Covid 19 - review

State, Sorina-Elena Abdul-Salam; Sfredel, Veronica; Mocanu, Carmen; Albu, Carmen Valeria; Bălășoiu, Andrei Teodor

doi:10.22336/rjo.2022.54

Cited by 9 publications

(10 citation statements)

References 52 publications

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“…A literature review confirmed a few cases of NAION in patients with SARS-CoV-2 infection [ 15 ]. However, a definite association between NAION and COVID-19 vaccination has not been reported to date [ 13 , 16 ]. Patients with COVID-19 may develop a state of hypercoagulability and hypoxemia, critical aspects that may play a role in the development of NAION, a circulatory insufficiency disease [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Numerous retrospective studies have described a prothrombotic condition in many patients with COVID-19 [ 10 - 12 ]. This hypercoagulable state likely contributes to an increased risk of developing NAION in some COVID-19 patients [ 13 , 14 ]. This clinicopathological case report describes a post-menopausal patient who experienced sudden, painless inferotemporal visual field loss after a COVID-19 infection.…”

Section: Introductionmentioning

confidence: 99%

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Non-arteritic Anterior Ischemic Optic Neuropathy Sequela From Potential COVID-19-Associated Coagulopathy

Naber,

Alinaghizadeh,

Kotecha

2024

Cureus

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We report a case involving a post-menopausal female who experienced a sudden loss of peripheral vision in her right eye seven months after a confirmed COVID-19 infection. MRI scans of the brain and orbit excluded neuritis and multiple sclerosis, leading to the diagnosis of non-arteritic anterior ischemic optic neuropathy (NAION). It is known that the intense inflammatory condition resulting from acute respiratory distress syndrome triggered by SARS-CoV-2 infections can result in a heightened tendency for blood clot formation. Emerging research underscores the potential link between the likelihood of a thrombotic event in the eye as a consequence of COVID-19 infection and the development of NAION. The connection between NAION and COVID-19, whether it is correlative or coincidental, remains uncertain. However, this case report aims to present evidence for the plausibility of this link and offer insights into potential ophthalmologic complications caused by COVID-19.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Non-arteritic Anterior Ischemic Optic Neuropathy Sequela From Potential COVID-19-Associated Coagulopathy

Naber,

Alinaghizadeh,

Kotecha

2024

Cureus

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“…Оптические нейропатии относятся к одному из обширных разделов офтальмологии, имеют множественные этиопатогенетические механизмы, иногда непредсказуемое течение, сопровождаясь порой необратимыми осложнениями. Нейротропный и нейроинвазивный характер вируса SARS-CoV-2 был подтвержден в том числе поражением зрительного нерва у инфицированных пациентов [13]. Нейроофтальмологические проявления коронавирусной инфекции встречаются редко, и в настоящее время описаны немногочисленные клинические случаи вовлечения зрительного нерва в патологический процесс.…”

Section: Discussionunclassified

COVID-19 Associated Serous Meningitis and Optic Neuritis: A Case Report

Чечик¹,

Лихачев²,

Каплич³

et al. 2023

Неврология И Нейрохирургия. Восточная Европа

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В настоящее время описаны различные варианты поражений нервной системы, ассоциированные с коронавирусной инфекцией COVID-19. Особое внимание уделяется таким остро развивающимся заболеваниям, как менингоэнцефалиты, инсульты, судорожные припадки, моно- и полиневропатии, энцефалопатии. Несмотря на имеющееся на текущий момент большое количество публикаций, данная проблема требует дальнейшего тщательного изучения, что связано с необходимостью систематизации данных, выявления новых патогенетических механизмов и разработки оптимальных терапевтических подходов. Огромный интерес также вызывает возможность возникновения у 1 пациента нескольких вариантов острого поражения структур центральной и периферической нервной системы. В статье представлено описание собственного клинического наблюдения пациента, у которого развились серозный менингит и оптический неврит, ассоциированные с коронавирусной инфекцией COVID-19. На примере клинического наблюдения рассмотрены особенности течения заболевания, подходы к диагностике и лечению, а также возможные сложности в процессе дифференциально-диагностического поиска. Nowadays, a variety of nervous system lesions associated with COVID-19 infection has been described. A special attention is paid to such acute developing diseases as meningoencephalitis, strokes, seizures, mono- and polyneuropathy, and encephalopathy. Despite the large number of available publications, this issue requires further careful study due to the necessity of systematizing data, identifying new pathogenetic mechanisms, and developing optimal therapeutic approaches. The possibility of several variants of acute damage to the structures of the central and peripheral nervous system in the same patient is also of great interest. The article describes the own clinical observation of a patient who developed serous meningitis and optic neuritis associated with COVID-19 infection. The clinical features of the disease course and approaches to diagnosis, as well as possible difficulties in the differential diagnostic process are considered.

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“…Furthermore, proning protocols (in the position of patients in respiratory distress in their stomachs) have been associated with ischemic optic neuropathy and visual loss, again highlighting the importance of physical examination and pressure redistribution in minimizing iatrogenic injuries in ventilated patients with COVID-19. 144 …”

Section: Ophthalmological Symptoms In the Course Of Covid-19mentioning

confidence: 99%

The Review of Ophthalmic Symptoms in COVID-19

Stawowski,

Konopińska,

Stawowski

et al. 2024

OPTH

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The COVID-19 pandemic caused by SARS-CoV-2 had a significant impact on the health of the global human population, affecting almost every human organ, including the organ of vision. Research focus on understanding the pathophysiology, identifying symptoms and complications of the disease. Eye-related pathologies are important foci of research due to the potential for direct impact of the virus. Ophthalmologists around the world are reporting various symptoms of eye infections and ocular pathologies associated with SARS-CoV-2. The review of ophthalmic symptoms was conducted to help physicians of various specialties recognize possible ophthalmic manifestations of this viral disease. A literature review was conducted from January 2020 to July 2023 in the PubMed, MEDLINE, Science Direct, Scopus, Scielo and Google Scholar databases. The review of the literature showed that conjunctivitis is the most common ophthalmic symptom observed during the course of COVID-19 and can occur at any stage of the disease. Changes in the eye may result from the direct effect of the virus, immune response, prothrombotic states, comorbidities, and medications used. Symptoms related to the organ of vision can be divided into: changes affecting the protective apparatus of the eye, the anterior eye segment, the posterior eye segment, neuro-ophthalmic, and orbital changes. Ocular symptoms may suggest COVID-19 infection or appear several weeks after recovery. Following COVID-19 vaccinations, a diverse range of ophthalmic symptoms was observed in various locations and at different times, mirroring the ocular symptoms experienced throughout the course of the COVID-19 illness. It is important for physicians of all specialties to be aware of possible potential connections between eye diseases and SARS-CoV-2, in order to effectively diagnose and treat patients.

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Optic neuropathies post-Covid 19 - review

Abstract: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cited by 9 publications

References 52 publications

Non-arteritic Anterior Ischemic Optic Neuropathy Sequela From Potential COVID-19-Associated Coagulopathy

Non-arteritic Anterior Ischemic Optic Neuropathy Sequela From Potential COVID-19-Associated Coagulopathy

COVID-19 Associated Serous Meningitis and Optic Neuritis: A Case Report

The Review of Ophthalmic Symptoms in COVID-19

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