We describe a 68-year-old
female patient with unilateral
central retinal artery occlusion (CRAO) with cilioretinal
artery sparing post-coronavirus disease 2019 (COVID-19)
infection. The
patient presented with acute
vision loss in the left
eye 11 days after discharge from a severe COVID-19
infection, with altered D-dimer,
C-reactive protein, and
fibrinogen levels. The best-corrected
visual acuity (BCVA) in the left
eye was 20/400; fundoscopic examination revealed diffuse
pallor retina with a patent arterial branch from the
optic disk to the fovea, confirmed by
fluorescein angiography. CRAO with a cilioretinal
artery sparing post-COVID-19 may be considered an additional ocular manifestation of the
post-acute COVID-19 syndrome spectrum.