Ocular Immunology and Inflammation
Background: To describe the first case of Coronavirus disease-2019 (COVID-19) vision loss from an acute outer retinopathy .Methods: A retrospective case report from a tertiary referral center using multimodal retinal imaging and clinical examination findings Findings: A 40-year-old female developed significant vision loss in her right eye shortly after developing fever and myalgias. She was found to be COVID positive, while her systemic laboratory evaluation was otherwise unremarkable. Multimodal imaging was consistent with a white-dot-like outer retinopathy and she was started on systemic prednisone. Within 10 days of starting steroids, her vision, symptoms, and outer retinal changes on multimodal imaging were improving. Interpretation: While exceedingly rare, COVID-19 can cause inflammatory-associated changes of the outer retina and significant vision loss.
Conrady CD, Faia LJ, Gregg KS, Rao RC. Coronavirus-19-Associated Retinopathy. Ocul Immunol Inflamm. 2021 May 19;29(4):675-676. doi: 10.1080/09273948.2021.1894456. Epub 2021 Apr 15. PMID: 33856276; PMCID: PMC8487893.