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Ocular Immunology and Inflammation Volume 28, 2020 - Issue 8
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Letter to the Editor

Impending Central Retinal Vein Occlusion in a Patient with Coronavirus Disease 2019 (COVID-19)

Alessandro Invernizzia Eye Clinic, Department of Biomedical and Clinical Science “Luigi Sacco”, Luigi Sacco Hospital, University of Milan, Milan, Italy;b The University of Sydney, Save Sight Institute, Discipline of Ophthalmology, Sydney Medical School, Sydney, AustraliaCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0003-3400-1987
, MDORCID Icon,
Marco Pellegrinia Eye Clinic, Department of Biomedical and Clinical Science “Luigi Sacco”, Luigi Sacco Hospital, University of Milan, Milan, Italy
, MD,
Dario Messenioa Eye Clinic, Department of Biomedical and Clinical Science “Luigi Sacco”, Luigi Sacco Hospital, University of Milan, Milan, Italy
, MD,
Matteo Ceredaa Eye Clinic, Department of Biomedical and Clinical Science “Luigi Sacco”, Luigi Sacco Hospital, University of Milan, Milan, Italy
, MD,
Pietro Olivieric Hospital Medical Directorate, Luigi Sacco Hospital, University of Milan, Milan, Italy
, MD,
Anna Maria Brambillad Emergency Unit, Department of Internal Medicine, Luigi Sacco Hospital, University of Milan, Milan, Italy
, MD &
Giovanni Staurenghia Eye Clinic, Department of Biomedical and Clinical Science “Luigi Sacco”, Luigi Sacco Hospital, University of Milan, Milan, ItalyORCID Iconhttps://orcid.org/0000-0002-2299-5251
, MDORCID Icon show all
Pages 1290-1292 | Received 03 Jun 2020, Accepted 04 Aug 2020, Published online: 25 Sep 2020
 
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ABSTRACT

Purpose

To report a case of impending central retinal vein occlusion (iCRVO) in a COVID-19 patient.

Case Report

A 54 years old woman with COVID-19 related pneumonia presented to our emergency department complaining of scotomas and decreased vision in her right eye. Funduscopic examination and multimodal imaging revealed rare retinal hemorrhages, retinal whitening, and fern-like hypo-autofluorescent appearance typical of iCRVO. She had no risk factors other than a transient hyper-coagulability status likely related to the ongoing infection. Systemic treatment with steroids normalized her inflammatory and coagulation status and the occlusion completely resolved.

Conclusions

Retinal circulation should be considered as a potential site for thromboembolic complications from COVID-19.

Acknowledgments

 

Declaration of interest

Giovanni Staurenghi is consultant for Heidelberg Engineering, the manufacturer of the instrument used to acquire the images presented in the manuscript.

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