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Case Reports
. 2022 Apr;70(4):1412-1415.
doi: 10.4103/ijo.IJO_2837_21.

Retinal vasoocclusive spectrum following COVID-19

Daraius Shroff  1 , Sandeep Kumar  1 , Anushree Naidu  1 , Charu Gupta  1 , Cyrus M Shroff  1
Affiliations
Case Reports

Retinal vasoocclusive spectrum following COVID-19

Daraius Shroff et al. Indian J Ophthalmol. 2022 Apr.

Abstract

The coagulation abnormalities and thromboembolic complications of coronavirus 2 (SARS-CoV-2) are now a well-established fact. The hypercoagulable state, the tendency for thromboembolism, and a cytokine surge state have been the exclusive reasons for multiorgan failure and other morbidities that have been regularly reported in COVID-19 patients. Ocular involvement in patients with active disease and those who have recovered is uncommon but not rare. We report a case series of four patients with CRVO, BRVO, CRAO, and vitreous hemorrhage in patients with proven COVID-19 infection and no other systemic ailments. The case series also tries to correlate the elevated D-dimer values, which signify a plausible prothrombotic state with the vaso-occlusive phenomenon in the retina leading to significant visual morbidity.

Keywords: Branch retinal vein occlusion; COVID-19; central retinal artery occlusion; central retinal vein occlusion; vitreous hemorrhage.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Color fundus photograph showing suspended vitreous hemorrhage
Figure 2
Figure 2
CRAO left eye showing retinal whitening with a cherry-red spot at the macula
Figure 3
Figure 3
BRVO left eye showing flame-shaped hemorrhages, dilated tortuous veins in the supero-temporal quadrant, and cystoid macular edema
Figure 4
Figure 4
CRVO RE showing flame-shaped hemorrhages in all quadrants, giving a tomato splash appearance with cystoid macular edema
See this image and copyright information in PMC

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