Publication: Ocular and Neuro-ophthalmic Manifestations Post COVID-19 Infection
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Health Research Council
Abstract
Abstract
A 39-year-old male with a history of COVID-19 infection presented with ocular manifestations: dendritic ulcer in the left eye cornea followed by diplopia in the same eye. Extraocular motility was restricted in the levo-lateral gaze with maximum diplopia measuring 25? exotropia. Slit lamp biomicroscopy showed dendritic patterned lesion with diffused superficial punctate keratitis in the cornea. There are various reports associated with COVID-19 and the neuro-ophthalmic system. Although the clinicopathological aspect of COVID-19 and the neurological system is still to explicate. However, the patient showed gradual improvement with topical and systemic antiviral therapy and orthoptic exercise. This points to the need for detailed neurological and ophthalmic workup in symptomatic COVID-19 patients. Taking the risk of viral spread into serious consideration, a thorough evaluation is though mandatory.
Keywords: COVID-19; dendritic ulcer; lateral rectus palsy; superficial punctate keratopathy
Description
Bipin Bista
B.P. Koirala Lions Center for Ophthalmic Studies, IOM, TUTH, Nepal
Reena Yadav
Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
Sharad Gupta
Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
Sandip Sanyam Das
Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
Ashik Rajak
Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal
Rajesh Acharya
College of Medical Sciences, Chitwan, Nepal
Rasik Neupane
St. Elizabeth Youngstown Hospital/NEOMED, Ohio, United States of America
Padam Raj Bista
National Medical College, Birgunj, Nepal