关键词: covid-19 hypercoagulable state ischemic optic neuropathy non-arteritic anterior ischemic optic neuropathy (naion) sudden vision loss

来  源:   DOI:10.7759/cureus.52158   PDF(Pubmed)

Abstract:
We report a case involving a post-menopausal female who experienced a sudden loss of peripheral vision in her right eye seven months after a confirmed COVID-19 infection. MRI scans of the brain and orbit excluded neuritis and multiple sclerosis, leading to the diagnosis of non-arteritic anterior ischemic optic neuropathy (NAION). It is known that the intense inflammatory condition resulting from acute respiratory distress syndrome triggered by SARS-CoV-2 infections can result in a heightened tendency for blood clot formation. Emerging research underscores the potential link between the likelihood of a thrombotic event in the eye as a consequence of COVID-19 infection and the development of NAION. The connection between NAION and COVID-19, whether it is correlative or coincidental, remains uncertain. However, this case report aims to present evidence for the plausibility of this link and offer insights into potential ophthalmologic complications caused by COVID-19.
摘要:
我们报告了一例绝经后女性,在确诊的COVID-19感染7个月后,她的右眼周围视力突然丧失。大脑和眼眶的MRI扫描排除了神经炎和多发性硬化,导致非动脉炎性前部缺血性视神经病变(NAION)的诊断。已知由SARS-CoV-2感染引发的急性呼吸窘迫综合征引起的强烈炎症可导致血凝块形成的趋势增强。新兴研究强调了COVID-19感染导致眼部血栓形成事件的可能性与NAION的发展之间的潜在联系。NAION和COVID-19之间的联系,无论是相关的还是巧合的,仍然不确定。然而,本病例报告旨在为这一联系的合理性提供证据,并提供有关COVID-19引起的潜在眼科并发症的见解.
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