Purtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation

Purpose: To describe a unique case of Purtscher-like retinopathy after a severe, complicated COVID-19 course which included development of disseminated intravascular coagulation (DIC). Observations: A 58-year-old male developed blurry vision in the left eye one week after being discharged from the h...

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Autores principales: Effie Z. Rahman, Pooja Shah, Jeremy E. Ong, Morton Goldberg, Sally S. Ong
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/f53fbdac70ac4600b572786a67635ef9
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spelling oai:doaj.org-article:f53fbdac70ac4600b572786a67635ef92021-11-18T04:50:52ZPurtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation2451-993610.1016/j.ajoc.2021.101229https://doaj.org/article/f53fbdac70ac4600b572786a67635ef92021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2451993621002383https://doaj.org/toc/2451-9936Purpose: To describe a unique case of Purtscher-like retinopathy after a severe, complicated COVID-19 course which included development of disseminated intravascular coagulation (DIC). Observations: A 58-year-old male developed blurry vision in the left eye one week after being discharged from the hospital for severe COVID-19 pneumonia and DIC. He had been intubated and ventilated for 5 days. Fundus examination revealed optic nerve hyperemia in the right eye, optic nerve pallor in the left eye, arteriolar attenuation, multiple cotton wool spots and ill-defined areas of retinal whitening in the posterior pole in both eyes. His exam findings were most consistent with Purtscher-like retinopathy in both eyes. Conclusions and Importance: While several cases of central retinal artery and vein occlusion have been described in COVID-19 patients thus far, there has not been any reported cases of Purtscher-like retinopathy. To the best of our knowledge, this is the first case of Purtscher-like retinopathy in a patient who developed DIC during a severe COVID-19 infection.Effie Z. RahmanPooja ShahJeremy E. OngMorton GoldbergSally S. OngElsevierarticleCOVID-19 retinopathyPurtscher-like retinopathyDisseminated intravascular coagulation in COVID-19OphthalmologyRE1-994ENAmerican Journal of Ophthalmology Case Reports, Vol 24, Iss , Pp 101229- (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19 retinopathy
Purtscher-like retinopathy
Disseminated intravascular coagulation in COVID-19
Ophthalmology
RE1-994
spellingShingle COVID-19 retinopathy
Purtscher-like retinopathy
Disseminated intravascular coagulation in COVID-19
Ophthalmology
RE1-994
Effie Z. Rahman
Pooja Shah
Jeremy E. Ong
Morton Goldberg
Sally S. Ong
Purtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation
description Purpose: To describe a unique case of Purtscher-like retinopathy after a severe, complicated COVID-19 course which included development of disseminated intravascular coagulation (DIC). Observations: A 58-year-old male developed blurry vision in the left eye one week after being discharged from the hospital for severe COVID-19 pneumonia and DIC. He had been intubated and ventilated for 5 days. Fundus examination revealed optic nerve hyperemia in the right eye, optic nerve pallor in the left eye, arteriolar attenuation, multiple cotton wool spots and ill-defined areas of retinal whitening in the posterior pole in both eyes. His exam findings were most consistent with Purtscher-like retinopathy in both eyes. Conclusions and Importance: While several cases of central retinal artery and vein occlusion have been described in COVID-19 patients thus far, there has not been any reported cases of Purtscher-like retinopathy. To the best of our knowledge, this is the first case of Purtscher-like retinopathy in a patient who developed DIC during a severe COVID-19 infection.
format article
author Effie Z. Rahman
Pooja Shah
Jeremy E. Ong
Morton Goldberg
Sally S. Ong
author_facet Effie Z. Rahman
Pooja Shah
Jeremy E. Ong
Morton Goldberg
Sally S. Ong
author_sort Effie Z. Rahman
title Purtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation
title_short Purtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation
title_full Purtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation
title_fullStr Purtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation
title_full_unstemmed Purtscher-like retinopathy in a patient with COVID-19 and disseminated intravascular coagulation
title_sort purtscher-like retinopathy in a patient with covid-19 and disseminated intravascular coagulation
publisher Elsevier
publishDate 2021
url https://doaj.org/article/f53fbdac70ac4600b572786a67635ef9
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