Non-arteritic Anterior Ischemic Optic Neuropathy with Macular Star following COVID-19 Vaccination.
Ocul Immunol Inflamm
; 30(5): 1274-1277, 2022 Jul.
Article
in English
| MEDLINE | ID: covidwho-1784146
ABSTRACT
PURPOSE:
To report a case of non-arteritic anterior ischemic optic neuropathy (NAAION) with macular star after receiving the second dose of SARS-CoV-2 vaccination.METHOD:
Case report. OBSERVATION A 51-year-old male presented with acute visual disturbances one day after the second dose of BNT162b2 mRNA SARS-CoV-2 vaccination. At presentation, best corrected visual acuity (BCVA) was 20/25 right eye (OD) and counting fingers at 3 feet left eye (OS). Anterior segment examination was normal in both eyes. Dilated fundoscopy was unremarkable OD, however, it disclosed optic nerve swelling and subretinal fluid OS. Patient was treated with a gradual tapering dose of oral prednisone over 1 month. At the five-week follow-up visit, optic disc swelling and subretinal fluid resolved with minimal improvement in BCVA to 20/400 OS.CONCLUSION:
It is unclear whether COVID-19 vaccination was the triggering agent to the NAAION or just a coincidence, yet ophthalmologists should be aware of such a possible association.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Papilledema
/
Optic Neuropathy, Ischemic
/
COVID-19 Vaccines
/
COVID-19
Type of study:
Case report
/
Cohort study
/
Observational study
/
Prognostic study
Topics:
Long Covid
/
Vaccines
Limits:
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Ocul Immunol Inflamm
Journal subject:
Allergy and Immunology
/
Ophthalmology
Year:
2022
Document Type:
Article
Affiliation country:
09273948.2022.2059522
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