Various neurological complications have been reported after COVID-19. The study aimed to document an unusual case of Adie's tonic pupil following COVID-19. The study was a case report. A 28-year-old female had suffered a flu-like disease about 2 months before and the SARSCoV-2 polymerase chain reaction test at that time was positive. Two weeks after infection she noticed an asymmetry between the pupils. The only pathological finding on examination was anisocoria with a larger left pupil in ambient light. Light reflexes were observed in the right eye, while in the left eye, they were absent. Also, there was no near response in the left pupil. A 0.1% pilocarpine test results validated Adie's pupil diagnosis. After one year of follow-up, the anisocoria decreased but did not completely recover. COVID-19 may cause damage to neural structures due to autoimmune ways by activating immune pathways or because of vascular complications that may affect the vasa nervorum. Adie's tonic pupil is often idiopathic, but it may develop following viral infection. Ocular complications that involve pupil abnormalities may manifest following COVID-19. In the cases of Adie's tonic pupil, infectious diseases, including COVID-19, should be questioned. RT PCR = reverse transcription polymerase chain reaction.
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http://dx.doi.org/10.22336/rjo.2024.18 | DOI Listing |
Rom J Ophthalmol
July 2024
Ophthalmology Department, Medipol University, Faculty of Medicine, Istanbul, Turkey.
Various neurological complications have been reported after COVID-19. The study aimed to document an unusual case of Adie's tonic pupil following COVID-19. The study was a case report.
View Article and Find Full Text PDFClin Rheumatol
December 2023
Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Rd, Shanghai, 200001, China.
J Eur Acad Dermatol Venereol
September 2023
Department of Dermatology and Venereology, Coimbra Hospital and University Center, Coimbra, Portugal.
J Ophthalmic Vis Res
February 2023
University of Alabama at Birmingham Heersink School of Medicine, Department of Ophthalmology and Visual Sciences, Birmingham, Alabama, USA.
Coronavirus disease 2019 (COVID-19) is a current pandemic caused by SARS-CoV-2 that has vastly affected the whole world. Although respiratory disease is the most common manifestation of COVID-19, the virus can affect multiple organs. Neurotropic aspects of the virus are increasingly unfolding, in so far as some respiratory failures are attributed to brainstem involvement.
View Article and Find Full Text PDFKathmandu Univ Med J (KUMJ)
October 2022
Reiyukai Eiko Masunaga Eye Hospital, Banepa, Nepal.
A 34 years old female presented with complains of photophobia since 6-7 months. On examination, she had anisocoria of 4 mm in room light which increased in bright light. The left pupil was dilated and unresponsive to direct and indirect light stimuli.
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