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Monocular visual loss as the presenting symptom of COVID-19 infection.
Murchison, Ann P; Sweid, Ahmad; Dharia, Robin; Theofanis, Thana N; Tjoumakaris, Stavropoula I; Jabbour, Pascal M; Bilyk, Jurij R.
  • Murchison AP; Eye Emergency Room, Wills Eye Hospital & Associate Professor, Department of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, United States; Oculoplastic and Orbital Surgery Service, Wills Eye Hospital, Philadelphia, PA, United States. Electronic address: amurchison@wil
  • Sweid A; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, United States. Electronic address: ahmad.sweid@jefferson.edu.
  • Dharia R; Department of Neurology, Thomas Jefferson University Hospital, Philadelphia, PA, United States. Electronic address: robin.dharia@jefferson.edu.
  • Theofanis TN; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, United States. Electronic address: thana.theofanis@jefferson.edu.
  • Tjoumakaris SI; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, United States. Electronic address: stavropoula.tjoumakaris@jefferson.edu.
  • Jabbour PM; Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, United States. Electronic address: pascal.jabbour@jefferson.edu.
  • Bilyk JR; Oculoplastic and Orbital Surgery Service, Wills Eye Hospital, Philadelphia, PA, United States. Electronic address: jrbilyk@aol.com.
Clin Neurol Neurosurg ; 201: 106440, 2021 02.
Article in English | MEDLINE | ID: covidwho-1059540
ABSTRACT
BACKGROUND AND IMPORTANCE Additional time is needed to determine the exact impact of COVID-19 on acute cerebrovascular disease incidence, but recently published data has correlated COVID-19 to large vessel occlusion strokes. CLINICAL PRESENTATION We report the first case of central retinal artery occlusion (CRAO) as the initial manifestation of COVID-19 infection. Subsequent neuroimaging revealed a large thrombus extending into the internal carotid artery.

CONCLUSION:

This case illustrates the need to suspect COVID-19 infection in patients presenting with retinal arterial occlusion, including individuals who are asymptomatic or minimally symptomatic for COVID-19 infection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vision Disorders / Retinal Artery Occlusion / Vision, Monocular / COVID-19 Type of study: Case report / Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: Clin Neurol Neurosurg Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vision Disorders / Retinal Artery Occlusion / Vision, Monocular / COVID-19 Type of study: Case report / Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: Clin Neurol Neurosurg Year: 2021 Document Type: Article