ABSTRACT

Purpose: To report a case of bilateral choroiditis following COVID-19 vaccination.Study Design: Case report.Results: A 34-year old male presented with visual loss one week after the second dose of COVID-19 vaccine. Examination showed large serous detachment of the macula in the right eye and severe choroidal thickening noted on ultrasonography in both eyes. The patient’s condition improved rapidly with oral corticosteroids with significant resolution of the serous detachments within two weeks of initiating treatment and complete visual recovery subsequently.Conclusions: The onset of ocular symptoms starting within one week following vaccination suggests an inflammatory or autoimmune response to the vaccine. Ophthalmologists should consider the option of autoimmune and other inflammatory ocular problems, which may manifest as uveitis, following COVID-19 vaccination. Timely diagnosis and treatment with corticosteroids can result in good visual and structural outcome.

摘要

目的：报告一例 COVID-19 疫苗接种后双侧脉络膜炎病例。研究设计：案例报告。结果：一名 34 岁男性在第二剂 COVID-19 疫苗接种一周后出现视力丧失。检查显示右眼黄斑大面积浆液性脱离，双眼超声检查发现严重脉络膜增厚。口服皮质类固醇后，患者的病情迅速改善，在开始治疗的两周内，浆液性脱离明显消退，随后视力完全恢复。结论：接种疫苗后一周内开始出现眼部症状表明对疫苗有炎症或自身免疫反应。在接种 COVID-19 疫苗后，眼科医生应考虑选择自身免疫性和其他炎症性眼部问题，这些问题可能表现为葡萄膜炎。及时诊断和使用皮质类固醇治疗可以带来良好的视觉和结构结果。