Офтальмологические проявления на заднем отрезке глаза после коронавирусной инфекции

Abstract

An outbreak of SARS-CoV-2 coronavirus infection has caused 667 million cases. COVID-19 is a severe acute respiratory infection caused by the SARS-CoV-2 coronavirus. The virus primarily affects the respiratory system and causes from mild signs, respiratory infection, to a severe course, acute respiratory distress syndrome. Multiple ophthalmologic manifestations in both the anterior and posterior segment of the eye are increasingly reported in the literature. Purpose. To present clinical cases of postocular ophthalmic manifestations on the ocular fundus. Material and methods. Four clinical cases of ophthalmologic manifestations in the posterior segment of the eyes that developed after a coronavirus infection were presented. All patients underwent ophthalmological examination including visometry, anterior segment biomicroscopy, as well as ophthalmoscopy with non-contact Volk 78D lens, optical coherence tomography (OCT) of macular area and OCT in angioregim (DRI OCT Triton plus, Japan). Treatment and recommendations were individualized according to ophthalmological indications. Results. Stabilization of postocular ophthalmic manifestations in the posterior segment of the eye. There was an increase in maximum corrected visual acuity (MCOZ), reduction of macular edema, adherence of neuroepithelial detachment (ONE). Conclusion. It is necessary to pay attention to the complaints of the visual organ in patients with COVID-19 in the early stages of the disease and in the nearest months after recovery. Our clinical observations show the necessity of further study of pathogenesis, clinic and treatment methods of ocular complications associated with COVID-19. Keywords: coronavirus disease, postthrombotic retinopathy, macular neovascular membrane, central serous chorioretinopathy