Purtscher-Like Retinopathy in a Patient with COVID-19

The emerging literature on the novel coronavirus pandemic has reported several cases of varied retinal findings in patients with COVID-19. We report the case of a 59-year-old male who presented with complaint of bilateral blurry vision following hospital discharge after prolonged hospitalization for...

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Main Authors: Alexander R. Bottini, Sean Steinmetz, Kevin J. Blinder, Gaurav K. Shah
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2021/6661541
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author Alexander R. Bottini
Sean Steinmetz
Kevin J. Blinder
Gaurav K. Shah
author_facet Alexander R. Bottini
Sean Steinmetz
Kevin J. Blinder
Gaurav K. Shah
author_sort Alexander R. Bottini
collection DOAJ
description The emerging literature on the novel coronavirus pandemic has reported several cases of varied retinal findings in patients with COVID-19. We report the case of a 59-year-old male who presented with complaint of bilateral blurry vision following hospital discharge after prolonged hospitalization for severe COVID-19 illness. On ocular exam, the patient demonstrated bilateral cotton wool spots localized to the posterior pole of each eye. Multimodal imaging demonstrated findings consistent with retinal nerve fiber layer infarcts in the areas of the cotton wool spots. Exam and imaging of our patient were most consistent with a Purtscher-like retinopathy. We suggest that as ophthalmologists care for increasing numbers of patients recuperating from COVID-19, they monitor for microangiopathic changes similar to those in our patient.
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institution Kabale University
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publishDate 2021-01-01
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-b1629b02867c44f3a19c346df35176162025-02-03T06:07:40ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302021-01-01202110.1155/2021/66615416661541Purtscher-Like Retinopathy in a Patient with COVID-19Alexander R. Bottini0Sean Steinmetz1Kevin J. Blinder2Gaurav K. Shah3The Retina Institute, St. Louis, MO, USAThe Retina Institute, St. Louis, MO, USAThe Retina Institute, St. Louis, MO, USAThe Retina Institute, St. Louis, MO, USAThe emerging literature on the novel coronavirus pandemic has reported several cases of varied retinal findings in patients with COVID-19. We report the case of a 59-year-old male who presented with complaint of bilateral blurry vision following hospital discharge after prolonged hospitalization for severe COVID-19 illness. On ocular exam, the patient demonstrated bilateral cotton wool spots localized to the posterior pole of each eye. Multimodal imaging demonstrated findings consistent with retinal nerve fiber layer infarcts in the areas of the cotton wool spots. Exam and imaging of our patient were most consistent with a Purtscher-like retinopathy. We suggest that as ophthalmologists care for increasing numbers of patients recuperating from COVID-19, they monitor for microangiopathic changes similar to those in our patient.http://dx.doi.org/10.1155/2021/6661541
spellingShingle Alexander R. Bottini
Sean Steinmetz
Kevin J. Blinder
Gaurav K. Shah
Purtscher-Like Retinopathy in a Patient with COVID-19
Case Reports in Ophthalmological Medicine
title Purtscher-Like Retinopathy in a Patient with COVID-19
title_full Purtscher-Like Retinopathy in a Patient with COVID-19
title_fullStr Purtscher-Like Retinopathy in a Patient with COVID-19
title_full_unstemmed Purtscher-Like Retinopathy in a Patient with COVID-19
title_short Purtscher-Like Retinopathy in a Patient with COVID-19
title_sort purtscher like retinopathy in a patient with covid 19
url http://dx.doi.org/10.1155/2021/6661541
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