Anisocoria in an intubated patient with COVID-19

The effects of COVID-19 on the eye are still widely unknown. We describe a case of a patient who was intubated and proned in the intensive care unit (ICU) for COVID-19 and developed unilateral anisocoria. CT venogram excluded a cavernous sinus thrombosis. MRI of the head showed microhaemorrhages in...

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Autores principales: Myers, Sam, Bhalla, Minak, Jolly, Rohit, Jain, Saurabh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300558/
https://www.ncbi.nlm.nih.gov/pubmed/34301697
http://dx.doi.org/10.1136/bcr-2020-240003
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author Myers, Sam
Bhalla, Minak
Jolly, Rohit
Jain, Saurabh
author_facet Myers, Sam
Bhalla, Minak
Jolly, Rohit
Jain, Saurabh
author_sort Myers, Sam
collection PubMed
description The effects of COVID-19 on the eye are still widely unknown. We describe a case of a patient who was intubated and proned in the intensive care unit (ICU) for COVID-19 and developed unilateral anisocoria. CT venogram excluded a cavernous sinus thrombosis. MRI of the head showed microhaemorrhages in the midbrain where the pupil reflex nuclei are located. After the patient was stepped down from ICU, intraocular pressure (IOP) was found to be raised in that eye. A diagnosis of subacute closed angle glaucoma was made. It is important for clinicians to rule out thrombotic causes in patients who develop acute anisocoria. It is also crucial to measure IOP in patients who develop ophthalmic pathology and have been proned for extended periods.
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spelling pubmed-83005582021-07-23 Anisocoria in an intubated patient with COVID-19 Myers, Sam Bhalla, Minak Jolly, Rohit Jain, Saurabh BMJ Case Rep Case Report The effects of COVID-19 on the eye are still widely unknown. We describe a case of a patient who was intubated and proned in the intensive care unit (ICU) for COVID-19 and developed unilateral anisocoria. CT venogram excluded a cavernous sinus thrombosis. MRI of the head showed microhaemorrhages in the midbrain where the pupil reflex nuclei are located. After the patient was stepped down from ICU, intraocular pressure (IOP) was found to be raised in that eye. A diagnosis of subacute closed angle glaucoma was made. It is important for clinicians to rule out thrombotic causes in patients who develop acute anisocoria. It is also crucial to measure IOP in patients who develop ophthalmic pathology and have been proned for extended periods. BMJ Publishing Group 2021-07-22 /pmc/articles/PMC8300558/ /pubmed/34301697 http://dx.doi.org/10.1136/bcr-2020-240003 Text en © BMJ Publishing Group Limited 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Case Report
Myers, Sam
Bhalla, Minak
Jolly, Rohit
Jain, Saurabh
Anisocoria in an intubated patient with COVID-19
title Anisocoria in an intubated patient with COVID-19
title_full Anisocoria in an intubated patient with COVID-19
title_fullStr Anisocoria in an intubated patient with COVID-19
title_full_unstemmed Anisocoria in an intubated patient with COVID-19
title_short Anisocoria in an intubated patient with COVID-19
title_sort anisocoria in an intubated patient with covid-19
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300558/
https://www.ncbi.nlm.nih.gov/pubmed/34301697
http://dx.doi.org/10.1136/bcr-2020-240003
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