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Acute macular neuroretinopathy as the first stage of SARS-CoV-2 infection.
Capuano, Vittorio; Forte, Paolo; Sacconi, Riccardo; Miere, Alexandra; Mehanna, Carl-Joe; Barone, Caterina; Bandello, Francesco; Souied, Eric H; Querques, Giuseppe.
Afiliação
  • Capuano V; Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Forte P; Department of Ophthalmology, IRCCS Ospedale San Raffaele, Vita-Salute University, Milan, Italy.
  • Sacconi R; Department of Ophthalmology, IRCCS Ospedale San Raffaele, Vita-Salute University, Milan, Italy.
  • Miere A; Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Mehanna CJ; Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Barone C; Private practice, Galatina (Le), Italy.
  • Bandello F; Department of Ophthalmology, IRCCS Ospedale San Raffaele, Vita-Salute University, Milan, Italy.
  • Souied EH; Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
  • Querques G; Department of Ophthalmology, IRCCS Ospedale San Raffaele, Vita-Salute University, Milan, Italy.
Eur J Ophthalmol ; 33(3): NP105-NP111, 2023 May.
Article em En | MEDLINE | ID: mdl-35360952
ABSTRACT

INTRODUCTION:

To report two cases of Acute Macular Neuroretinopathy (AMN) presented as the first stage of SARS-CoV-2 infection in two European countries during the third wave of pandemic viral infection in the early months of 2021. OBSERVATIONS A unilateral case of type 1 AMN in a man and a bilateral case of type 2 AMN in an otherwise heathy patients were reported. Sudden onset of paracentral scotoma characterized the cases with no systemic symptoms. Structural optical coherence tomography (OCT) shows multifocal middle and inner retinal hyperreflective infarctions. OCT-Angiography showed the presence of hypoperfusion of the deep capillary plexus (DCP) corresponding to the hyperreflective lesions visible on structural OCT, confirming the diagnosis. CONCLUSIONS AND IMPORTANCE Type 1 and type 2 AMN may be the first stage of SARS-CoV-2 infection. We suggest testing all patients with AMN for SARS-CoV-2. In our cases, the natural history of AMN associated with SARS-CoV-2 infection was similar to already described cases of AMN.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças Retinianas / Síndrome dos Pontos Brancos / COVID-19 Limite: Humans / Male Idioma: En Revista: Eur J Ophthalmol Assunto da revista: OFTALMOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: França

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças Retinianas / Síndrome dos Pontos Brancos / COVID-19 Limite: Humans / Male Idioma: En Revista: Eur J Ophthalmol Assunto da revista: OFTALMOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: França