TB Research

Acute Bilateral Neuroretinitis and Panuveitis in A Patient with Coronavirus Disease 2019: A Case Report

Hosseini SM, Abrishami M, Zamani G, Hemmati A, Momtahen S, Hassani M, Omidtabrizi A

Ocular immunology and inflammation · 2021-04

Abstract

Purpose : Herein, we report a case of bilateral neuroretinitis and panuveitis in a patient recovered from coronavirus disease 2019 (COVID-19). Case presentation : A 37-year-old male patient with a history of recovered COVID-19, which was confirmed with nasopharyngeal reverse transcriptase polymerase chain reaction (RT-PCR) for Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), about one-month ago was referred with one-week history of bilateral severe vision loss. Visual acuity was counting fingers, and bilateral retinitis and panuveitis were revealed in ocular examination. The result of the vitreous sample using RT-PCR was positive for SARS-CoV-2 and negative for Herpesviridae viruses and mycobacterium tuberculosis . The patient was successfully treated with corticosteroid. Conclusion : We report a case of bilateral neuroretinitis and panuveitisin a recovered COVID-19 patient and positive RT-PCR of the vitreous sample. It is suggested to apply intraocular sampling and evaluation for COVID-19 in patients with the new-onset of uveitis and/or retinitis during the pandemic.

MeSH terms

  • Retina
  • Fundus Oculi
  • Uvea
  • Humans
  • Eye Infections, Viral
  • Retinitis
  • Panuveitis
  • RNA, Viral
  • Tomography, Optical Coherence
  • Fluorescein Angiography
  • Visual Acuity
  • Adult
  • Male
  • Pandemics
  • COVID-19
  • SARS-CoV-2