Vitritis and Outer Retinal Abnormalities in a Patient with COVID-19

Luiz A. Zago Filho; Luiz H. Lima; Gustavo B. Melo; Claudio Zett; Michel E. Farah

doi:10.1080/09273948.2020.1821898

Vitritis and Outer Retinal Abnormalities in a Patient with COVID-19

Luiz A. Zago Filho, Luiz H. Lima, Gustavo B. Melo, Claudio Zett, Michel E. Farah

Research output: Contribution to journal › Article › peer-review

40 Scopus citations

Abstract

Purpose: To report a unique case of intraocular inflammation and outer retinal changes in a patient with coronavirus disease (COVID-19). Case Report: A 57-year-old woman was seen 12 days after COVID-19 symptoms onset confirmed by positive IgM and IgG serological tests. No anterior chamber cells were seen. Color fundus photograph showed a yellowish lesion within the macular area, and fluorescein angiography revealed hyperfluorescence on the topography of the macular lesion in both eyes. Spectral-domain optical coherence tomography demonstrated hyperreflective pinpoints at the level of posterior vitreous hyaloid, corresponding to vitritis, hyperreflective lesions at the level of inner plexiform and ganglion cell layers, and disruption of the ellipsoid zone. Conclusion and Importance: COVID-19 is known to affect the inner retinal layers. The current case not only supports but also adds a vitreal and an outer retinal layer involvement that might also be caused by this infectious disease.

Original language	English
Pages (from-to)	1298-1300
Number of pages	3
Journal	Ocular Immunology and Inflammation
Volume	28
Issue number	8
DOIs	https://doi.org/10.1080/09273948.2020.1821898
State	Published - 16 Nov 2020

Keywords

COVID-19
Coronavirus
outer retina
vitritis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1080/09273948.2020.1821898

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title = "Vitritis and Outer Retinal Abnormalities in a Patient with COVID-19",

abstract = "Purpose: To report a unique case of intraocular inflammation and outer retinal changes in a patient with coronavirus disease (COVID-19). Case Report: A 57-year-old woman was seen 12 days after COVID-19 symptoms onset confirmed by positive IgM and IgG serological tests. No anterior chamber cells were seen. Color fundus photograph showed a yellowish lesion within the macular area, and fluorescein angiography revealed hyperfluorescence on the topography of the macular lesion in both eyes. Spectral-domain optical coherence tomography demonstrated hyperreflective pinpoints at the level of posterior vitreous hyaloid, corresponding to vitritis, hyperreflective lesions at the level of inner plexiform and ganglion cell layers, and disruption of the ellipsoid zone. Conclusion and Importance: COVID-19 is known to affect the inner retinal layers. The current case not only supports but also adds a vitreal and an outer retinal layer involvement that might also be caused by this infectious disease.",

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AU - Zago Filho, Luiz A.

AU - Lima, Luiz H.

AU - Melo, Gustavo B.

AU - Zett, Claudio

AU - Farah, Michel E.

PY - 2020/11/16

Y1 - 2020/11/16

N2 - Purpose: To report a unique case of intraocular inflammation and outer retinal changes in a patient with coronavirus disease (COVID-19). Case Report: A 57-year-old woman was seen 12 days after COVID-19 symptoms onset confirmed by positive IgM and IgG serological tests. No anterior chamber cells were seen. Color fundus photograph showed a yellowish lesion within the macular area, and fluorescein angiography revealed hyperfluorescence on the topography of the macular lesion in both eyes. Spectral-domain optical coherence tomography demonstrated hyperreflective pinpoints at the level of posterior vitreous hyaloid, corresponding to vitritis, hyperreflective lesions at the level of inner plexiform and ganglion cell layers, and disruption of the ellipsoid zone. Conclusion and Importance: COVID-19 is known to affect the inner retinal layers. The current case not only supports but also adds a vitreal and an outer retinal layer involvement that might also be caused by this infectious disease.

AB - Purpose: To report a unique case of intraocular inflammation and outer retinal changes in a patient with coronavirus disease (COVID-19). Case Report: A 57-year-old woman was seen 12 days after COVID-19 symptoms onset confirmed by positive IgM and IgG serological tests. No anterior chamber cells were seen. Color fundus photograph showed a yellowish lesion within the macular area, and fluorescein angiography revealed hyperfluorescence on the topography of the macular lesion in both eyes. Spectral-domain optical coherence tomography demonstrated hyperreflective pinpoints at the level of posterior vitreous hyaloid, corresponding to vitritis, hyperreflective lesions at the level of inner plexiform and ganglion cell layers, and disruption of the ellipsoid zone. Conclusion and Importance: COVID-19 is known to affect the inner retinal layers. The current case not only supports but also adds a vitreal and an outer retinal layer involvement that might also be caused by this infectious disease.

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Vitritis and Outer Retinal Abnormalities in a Patient with COVID-19

Abstract

Keywords

UN SDGs

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