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Hemi-central retinal vein occlusion as a rare manifestation of the hypercoagulable state in COVID-19.
Russe-Russe, Jose R; Alvarez-Betancourt, Alejandro; Milburn, Amanda; Anand, Prachi.
  • Russe-Russe JR; Internal Medicine, Nassau University Medical Center, East Meadow, New York, USA joseramonrusserusse@gmail.com.
  • Alvarez-Betancourt A; Internal Medicine, Nassau University Medical Center, East Meadow, New York, USA.
  • Milburn A; College of Osteopathic Medicine, NYIT, Old Westbury, New York, USA.
  • Anand P; Internal Medicine/Rheumatology, Nassau University Medical Center, East Meadow, New York, USA.
BMJ Case Rep ; 14(11)2021 Nov 01.
Article in English | MEDLINE | ID: covidwho-1495132
ABSTRACT
To date, COVID-19 has no definite effective targeted therapy, and management is primarily supportive. Central retinal vein occlusion (CRVO) is frequently caused by systemic risk factors posing hypercoagulable states. In April 2020, a female patient with a history of hypertension, diabetes mellitus and chronic kidney disease presented with 2 days of loose, watery stools, nasal congestion and severe lethargy. The patient denied dyspnoea or fever. A week after the initial symptoms, the patient reported decreased vision from the left eye. Dilated funduscopy and fluorescein angiography suggested hemi-CRVO. The patient refused intravitreal antivascular endothelial growth factor agents because of non-severe visual loss. Testing was positive for COVID-19 IgG antibodies; reverse transcription PCR was not available. Vision improved within 3 weeks of presentation. We recommend that clinicians keep a high suspicion for acute onset of thrombotic events in patients with COVID-19 and thrombotic predisposing risk factors.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Retinal Vein Occlusion / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Limits: Female / Humans Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-246428

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Retinal Vein Occlusion / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Limits: Female / Humans Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-246428