Different Cases, Different Manifestations of Post-COVID-19 Retinal Artery Occlusion: A Case Series


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YALÇINBAYIR Ö., UÇAN GÜNDÜZ G., COŞKUN N. F., HAKYEMEZ B., DOĞANAY S.

Turkish journal of ophthalmology, cilt.53, sa.2, ss.124-129, 2023 (ESCI) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 53 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.4274/tjo.galenos.2022.36930
  • Dergi Adı: Turkish journal of ophthalmology
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.124-129
  • Anahtar Kelimeler: COVID-19, retinal artery occlusion, SARS-CoV-2
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

Coronavirus disease 2019 (COVID-19) is a procoagulant disease that increases the risk of clinically evident thrombotic complications. Herein we present 3 cases with different retinal artery occlusions that emerged soon after the diagnosis of COVID-19. The first patient had central retinal artery occlusion (CRAO) that resulted in visual loss in one eye. The second patient had inflammatory peripheral retinal artery occlusion, vasculitis, and uveitis which did not affect vision. The third patient presented with CRAO following the progression from orbital cellulitis to orbital apex syndrome. Interestingly, CRAO progressed to internal carotid artery occlusion in this case within days and resulted in monocular visual loss. Variations in the underlying pathophysiology and the characteristics of individual immune responses in patients with COVID-19 may be factors that determine differences in clinical manifestations. This article aims to describe different presentations of COVID-19-related retinal artery occlusions and discuss possible pathophysiological aspects.