Atypical unilateral multifocal choroiditis in a COVID-19 positive patient.
Atypical unilateral multifocal choroiditis in a COVID-19 positive patient.
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DOI：
10.1016/j.ajoc.2021.101034
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发表时间：
2021-06
影响因子：
--
通讯作者：
Duker JS
中科院分区：
文献类型：
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作者：
de Souza EC;de Campos VE;Duker JS
报告1例非典型单侧多灶性脉络膜炎，其发生时间与急性COVID-19感染相关。一名23岁的高度近视男子因直接接触COVID-19感染而在医疗隔离期间出现右眼视力下降。在出现轻度COVID症状（发热、咳嗽和嗅觉丧失）五天后，他注意到右眼急性无痛性中心视力丧失。通过咽拭子和血清学滴度检测到的SARS-CoV-2在就诊时的全身评价为阳性。进行散瞳眼底检查，然后进行彩色眼底照片、光学相干断层扫描（OCT）、眼底自发荧光（FAF）和荧光素血管造影（FA）。右眼眼底镜检查显示后极存在多个离散的、略微升高的黄白色片状病变。视力为20/800。左眼视力正常，20/20。患者口服皮质类固醇，病变迅速改善。患者患有MFC脉络膜视网膜炎，大约在同一时间，他有记录的急性COVID感染。虽然时间关系可能是偶然的，但将此病例传达给眼科社区是必要的，以查看是否注意到其他类似病例。
To present a case of an atypical unilateral multifocal choroiditis that occurred in temporal association to an acute covid-19 infection. A 23-year-old highly myopic man presented with reduced vision in the right eye while under medical quarantine due to direct exposure to COVID-19 infection. Five days after developing mild COVID symptoms (fever, cough and anosmia) he noticed acute painless loss of central vision in his right eye. Systemic evaluation at presentation was positive for SARS-CoV-2 detected via both a pharyngeal swab and serologic titers. Dilated fundus exam was performed, followed by color fundus pictures, optic coherence tomography (OCT), fundus autofluorescence (FAF) and fluorescein angiography (FA). Fundoscopic examination of the right eye revealed the presence of multiple discrete, slightly elevated yellow-whitish placoid lesions at the posterior pole. The visual acuity was 20/800. The left eye was normal with 20/20 vision. The patient was placed on oral corticosteroids and the lesions rapidly improved. The patient had an MFC chorioretinitis around the same time that he had a documented acute covid infection. Though the temporal relationship could be by chance alone, communicating this case to the ophthalmic community is warranted to see if other similar cases are noted.