RESUMEN
We report two adult cases of abducens nerve palsy presenting immediately (within weeks) after they received the first dose of Covishield vaccination. Magnetic resonance imaging (MRI) of the brain obtained after the onset of diplopia demonstrated demyelinating changes. The patients had associated systemic symptoms. Post-vaccination demyelination typically known as acute disseminated encephalomyelitis (ADEM) associated with several vaccines is more common in children. Although the mechanism of the nerve palsy remains unclear, it is suspected to be related to the post-vaccine neuroinflammatory syndrome. Cranial nerve palsies and ADEM-like presentations may represent part of the neurologic spectrum following COVID-vaccination in adults, and ophthalmologists should be aware of these sequelae. Although cases of sixth nerve palsy following COVID vaccination are already reported, associated MRI changes have not been reported from India.
Asunto(s)
Enfermedades del Nervio Abducens , COVID-19 , Encefalomielitis Aguda Diseminada , Adulto , Niño , Humanos , Encefalomielitis Aguda Diseminada/etiología , Encefalomielitis Aguda Diseminada/complicaciones , Vacunas contra la COVID-19/efectos adversos , ChAdOx1 nCoV-19 , COVID-19/complicaciones , Enfermedades del Nervio Abducens/etiología , Enfermedades del Nervio Abducens/complicaciones , Vacunación/efectos adversosRESUMEN
Since the emergence of COVID pandemic, health workers have been facing major challenges every day. Ophthalmology practice has encountered countless modifications in the practice pattern not to jeopardize patient care and at the same time maintain all safety measures to reduce transmission. One such modification we made was the Safe Slit-Lamp Shield (SSS) which has been found to be extremely protective in differentiation to other available shield. Although SSS has a larger surface area when compared to already available shields, it won't compromise the comfort of the clinician at the same time gives satisfactory protection.