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Case Reports
. 2020 Nov 16;28(8):1290-1292.
doi: 10.1080/09273948.2020.1807023. Epub 2020 Sep 25.

Impending Central Retinal Vein Occlusion in a Patient with Coronavirus Disease 2019 (COVID-19)

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Case Reports

Impending Central Retinal Vein Occlusion in a Patient with Coronavirus Disease 2019 (COVID-19)

Alessandro Invernizzi et al. Ocul Immunol Inflamm. .

Abstract

Purpose: To report a case of impending central retinal vein occlusion (iCRVO) in a COVID-19 patient.

Case report: A 54 years old woman with COVID-19 related pneumonia presented to our emergency department complaining of scotomas and decreased vision in her right eye. Funduscopic examination and multimodal imaging revealed rare retinal hemorrhages, retinal whitening, and fern-like hypo-autofluorescent appearance typical of iCRVO. She had no risk factors other than a transient hyper-coagulability status likely related to the ongoing infection. Systemic treatment with steroids normalized her inflammatory and coagulation status and the occlusion completely resolved.

Conclusions: Retinal circulation should be considered as a potential site for thromboembolic complications from COVID-19.

Keywords: Covid-19; Retina; SARS-CoV-2; thrombosis; vein occlusion.

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