ABSTRACT

Purpose

Coronavirus Disease 2019 (COVID-19) pneumonia may predispose to thromboembolic disease, including after the acute phase. We report on a unique case of central retinal vein occlusion (CRVO) occurring eight months after diagnosis of Coronavirus Disease 2019 (COVID-19) pneumonia in a likely case of post-COVID-19 syndrome.

Case report

A 42-year-old man developed blurred vision in his right eye eight months after symptoms of pneumonia. He had no underlying medical conditions, but experienced exertional chest pain since diagnosis of COVID-19 was confirmed by detection of SARS-CoV-2 on nasopharyngeal swab and was also seeing cardiology for management of myocarditis. His best-corrected visual acuity on snellen chart testing was reduced to 6/18 in the affected right eye, and dilated fundal examination revealed a non-ischaemic CRVO.

Conclusion

The thromboembolic complications of COVID-19 may extend to CRVO, which in this case presented months after onset of symptoms of pneumonia, in association with myocarditis.

中文翻译：

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与中央视网膜静脉阻塞相关的 2019 冠状病毒病后 (COVID-19) 综合征：病例报告

摘要

目的

2019 年冠状病毒病 (COVID-19) 肺炎可能易患血栓栓塞性疾病，包括在急性期之后。我们报告了 2019 年冠状病毒病 (COVID-19) 肺炎诊断后 8 个月发生的一例视网膜中央静脉阻塞 (CRVO) 的独特病例，该病例可能是 COVID-19 后综合征。

案例报告

一名 42 岁的男子在出现肺炎症状八个月后出现右眼视力模糊。他没有基础疾病，但自从通过在鼻咽拭子上检测到 SARS-CoV-2 证实了 COVID-19 的诊断后，他经历了劳力性胸痛，并且还在看心脏病以治疗心肌炎。他在 snellen 图表测试中的最佳矫正视力在受影响的右眼中降至 6/18，扩张的眼底检查显示非缺血性 CRVO。

结论

COVID-19 的血栓栓塞并发症可能扩展到 CRVO，在这种情况下，CRVO 在肺炎症状出现数月后出现，并伴有心肌炎。