Coronavirus disease 19 (COVID-19) and its ophthalmic manifestations have been variably portrayed. We report a case of a 56-year-old female presenting with sudden-onset vision loss associated with painful extraocular muscle movements in both eyes following COVID-19. Visual acuity was counting fingers close to face. Color perception tested was inaccurate. Ocular examination revealed sluggishly reacting pupils and an otherwise unremarkable fundus picture in both eyes, giving us an impression of bilateral retrobulbar neuritis. Magnetic resonance imaging of the brain and orbit were unremarkable, while blood investigations revealed nothing suggestive. The patient dramatically improved with steroid therapy with full visual recovery and a color vision defect. This presentation of bilateral retrobulbar neuritis as a sequela of COVID-19 is presented for its rarity.

中文翻译：

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急性双侧球后视神经炎 - COVID-19 的非典型后遗症。

对冠状病毒病 19 (COVID-19) 及其眼科表现的描述各不相同。我们报告了一例 56 岁女性，在 COVID-19 后出现与双眼眼外肌疼痛运动相关的突发性视力丧失。视力是指靠近脸的手指数。测试的颜色感知不准确。眼部检查显示瞳孔反应迟缓，双眼其他方面不显着的眼底图像，给我们的印象是双侧球后神经炎。大脑和眼眶的磁共振成像没有异常，而血液检查没有发现任何提示。患者通过类固醇治疗显着改善，完全视力恢复和色觉缺陷。