The First Case of the Subretinal Abscess After Sars-CoV2 Infection

Navid Kalani; Mohammad Reza Zare; Sara Safniyat; Naser Hatami; Seyed Ahmad Razavizadegan

doi:10.18502/acta.v60i2.8826

Navid Kalani Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
Mohammad Reza Zare Poostchi Ophtalmogy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Sara Safniyat Poostchi Ophtalmogy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Naser Hatami Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
Seyed Ahmad Razavizadegan Department of Ophthalmology, Jahrom University of Medical Sciences, Jahrom, Iran

DOI: https://doi.org/10.18502/acta.v60i2.8826

Keywords: Subretinal abscess; Coronavirus disease 2019 (COVID-19); Severe acute respiratory syndrome coronavirus 2 (SARS-CoV2)

Abstract

Ever since the new coronavirus has become the cause of the COVID-19 pandemic; it has manifested with unknown and new presentations. In this report, we are presenting a 46-year-old female infected with COVID-19 (confirmed by Reverse transcription polymerase chain reaction (RT-PCR) nasal swab test) and a known case of Diabetes mellitus type 2 who had a history of Intensive care units (ICU)admission due to COVID-19 with uncontrolled diabetes mellitus. In the second admission after recovery, she had blurred vision. Fundus examination revealed multiple yellow-white well-demarcated nonpigmented masses. Diagnosis of the multiple subretinal abscesses was confirmed. KOH-Calcofluor staining of vitreous fluid was negative for fungal infections of the eye. No polymorphonuclear leukocytes (PMN), epithelial cells, nor any organisms were detected. The patient was treated with an injection of the intravitreal Amphotericin B 10 µg/0.1 cc. To our knowledge, the presented case is the first case of the subretinal abscess after COVID-19 infection.