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Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report

A central retinal vein occlusion (CRVO) case in a patient developed with sudden blurred vision in some hemifield areas of his left eye, maintaining 20/20 vision 15-days after the COVID-19 vaccination. Initial retinal findings were venous dilation and tortuosity with dispersing dot hemorrhages. Fluor...

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Autores principales: Endo, Beatriz, Bahamon, Silvana, Martínez-Pulgarín, Dayron F
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8597478/
https://www.ncbi.nlm.nih.gov/pubmed/34571653
http://dx.doi.org/10.4103/ijo.IJO_1477_21
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author Endo, Beatriz
Bahamon, Silvana
Martínez-Pulgarín, Dayron F
author_facet Endo, Beatriz
Bahamon, Silvana
Martínez-Pulgarín, Dayron F
author_sort Endo, Beatriz
collection PubMed
description A central retinal vein occlusion (CRVO) case in a patient developed with sudden blurred vision in some hemifield areas of his left eye, maintaining 20/20 vision 15-days after the COVID-19 vaccination. Initial retinal findings were venous dilation and tortuosity with dispersing dot hemorrhages. Fluorescein angiography (FA) and optical coherence tomography (OCT) confirmed a non-ischemic CRVO diagnosis, and a complete blood panel was requested with average results. An intravitreal steroid dose was applied. A decrease in best-corrected visual acuity (BCVA) (20/30) with more intraretinal hemorrhages was documented. An intravitreal dose of bevacizumab and oral apixaban were added with a final BCVA of 20/20 with decreased hemorrhages. There is no specific causal relationship between COVID-19 vaccines and CRVO. Without previous risk factors and positive treatment response, this case may correlate the first COVID-19 vaccine dose and the event.
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spelling pubmed-85974782021-12-07 Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report Endo, Beatriz Bahamon, Silvana Martínez-Pulgarín, Dayron F Indian J Ophthalmol Expedited Publication, Case Reports A central retinal vein occlusion (CRVO) case in a patient developed with sudden blurred vision in some hemifield areas of his left eye, maintaining 20/20 vision 15-days after the COVID-19 vaccination. Initial retinal findings were venous dilation and tortuosity with dispersing dot hemorrhages. Fluorescein angiography (FA) and optical coherence tomography (OCT) confirmed a non-ischemic CRVO diagnosis, and a complete blood panel was requested with average results. An intravitreal steroid dose was applied. A decrease in best-corrected visual acuity (BCVA) (20/30) with more intraretinal hemorrhages was documented. An intravitreal dose of bevacizumab and oral apixaban were added with a final BCVA of 20/20 with decreased hemorrhages. There is no specific causal relationship between COVID-19 vaccines and CRVO. Without previous risk factors and positive treatment response, this case may correlate the first COVID-19 vaccine dose and the event. Wolters Kluwer - Medknow 2021-10 2021-09-25 /pmc/articles/PMC8597478/ /pubmed/34571653 http://dx.doi.org/10.4103/ijo.IJO_1477_21 Text en Copyright: © 2021 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 4.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Expedited Publication, Case Reports
Endo, Beatriz
Bahamon, Silvana
Martínez-Pulgarín, Dayron F
Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report
title Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report
title_full Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report
title_fullStr Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report
title_full_unstemmed Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report
title_short Central retinal vein occlusion after mRNA SARS-CoV-2 vaccination: A case report
title_sort central retinal vein occlusion after mrna sars-cov-2 vaccination: a case report
topic Expedited Publication, Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8597478/
https://www.ncbi.nlm.nih.gov/pubmed/34571653
http://dx.doi.org/10.4103/ijo.IJO_1477_21
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