Post corona virus Disease-19 (COVID-19): Hyper inflammatory syndrome-associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroids

Coronavirus disease 2019 (COVID-19) pandemic can cause ocular manifestations which include conjunctivitis to retinal manifestations. A 41-year-old Asian Indian male presented with unilateral blurring, glare, and pain in the left eye (LE), 22 days after COVID-19 infection. He had been administered in...

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Main Authors: Srinivasan Sanjay, Vijay K R. Rao, Deepashri Mutalik, Padmamalini Mahendradas, Ankush Kawali, Rohit Shetty
Format: Article
Language:English
Published: SAGE Publishing 2021-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2021;volume=16;issue=4;spage=451;epage=455;aulast=Sanjay
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author Srinivasan Sanjay
Vijay K R. Rao
Deepashri Mutalik
Padmamalini Mahendradas
Ankush Kawali
Rohit Shetty
author_facet Srinivasan Sanjay
Vijay K R. Rao
Deepashri Mutalik
Padmamalini Mahendradas
Ankush Kawali
Rohit Shetty
author_sort Srinivasan Sanjay
collection DOAJ
description Coronavirus disease 2019 (COVID-19) pandemic can cause ocular manifestations which include conjunctivitis to retinal manifestations. A 41-year-old Asian Indian male presented with unilateral blurring, glare, and pain in the left eye (LE), 22 days after COVID-19 infection. He had been administered intravenous steroids followed by oral steroids. Eye evaluation showed corrected distance visual acuity of 20/20 in both the eyes (BEs). Anterior chamber showed inflammation in the LE, a day later in the right eye. Fundus examination of the BE showed retinal pigment epithelial changes with serous elevation suggestive of multifocal serous chorioretinopathy. A month later, he had improvement in his symptoms with no cells in BE with topical steroids with resolution of serous retinopathy. Bilateral anterior uveitis possibly represents an immune-mediated trigger of his clinically quiescent psoriasis causing first-ever uveitis episode, possibly due to COVID-19. Serous chorioretinopathy could be secondary to steroids following treatment of COVID-19-related sequelae.
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publishDate 2021-01-01
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record_format Article
series Indian Journal of Rheumatology
spelling doaj-art-dff531bbc8c04bc3a06e124885bf061b2025-02-02T22:47:46ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012021-01-0116445145510.4103/injr.injr_330_20Post corona virus Disease-19 (COVID-19): Hyper inflammatory syndrome-associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroidsSrinivasan SanjayVijay K R. RaoDeepashri MutalikPadmamalini MahendradasAnkush KawaliRohit ShettyCoronavirus disease 2019 (COVID-19) pandemic can cause ocular manifestations which include conjunctivitis to retinal manifestations. A 41-year-old Asian Indian male presented with unilateral blurring, glare, and pain in the left eye (LE), 22 days after COVID-19 infection. He had been administered intravenous steroids followed by oral steroids. Eye evaluation showed corrected distance visual acuity of 20/20 in both the eyes (BEs). Anterior chamber showed inflammation in the LE, a day later in the right eye. Fundus examination of the BE showed retinal pigment epithelial changes with serous elevation suggestive of multifocal serous chorioretinopathy. A month later, he had improvement in his symptoms with no cells in BE with topical steroids with resolution of serous retinopathy. Bilateral anterior uveitis possibly represents an immune-mediated trigger of his clinically quiescent psoriasis causing first-ever uveitis episode, possibly due to COVID-19. Serous chorioretinopathy could be secondary to steroids following treatment of COVID-19-related sequelae.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2021;volume=16;issue=4;spage=451;epage=455;aulast=Sanjayanterior uveitiscentral serous chorioretinopathycovid-19ophthalmic manifestationsspectral-domain optical coherence tomography
spellingShingle Srinivasan Sanjay
Vijay K R. Rao
Deepashri Mutalik
Padmamalini Mahendradas
Ankush Kawali
Rohit Shetty
Post corona virus Disease-19 (COVID-19): Hyper inflammatory syndrome-associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroids
Indian Journal of Rheumatology
anterior uveitis
central serous chorioretinopathy
covid-19
ophthalmic manifestations
spectral-domain optical coherence tomography
title Post corona virus Disease-19 (COVID-19): Hyper inflammatory syndrome-associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroids
title_full Post corona virus Disease-19 (COVID-19): Hyper inflammatory syndrome-associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroids
title_fullStr Post corona virus Disease-19 (COVID-19): Hyper inflammatory syndrome-associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroids
title_full_unstemmed Post corona virus Disease-19 (COVID-19): Hyper inflammatory syndrome-associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroids
title_short Post corona virus Disease-19 (COVID-19): Hyper inflammatory syndrome-associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroids
title_sort post corona virus disease 19 covid 19 hyper inflammatory syndrome associated bilateral anterior uveitis and multifocal serous retinopathy secondary to steroids
topic anterior uveitis
central serous chorioretinopathy
covid-19
ophthalmic manifestations
spectral-domain optical coherence tomography
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2021;volume=16;issue=4;spage=451;epage=455;aulast=Sanjay
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