Revista Brasileira de Oftalmologia (Jul 2023)

Retinal arterial macroaneurysms in patients recovered from COVID-19

  • Epitácio Dias da Silva Neto,
  • Taurino dos Santos Rodrigues Neto,
  • Lívia da Silva Conci,
  • Rony Preti,
  • Mário Luiz Ribeiro Monteiro,
  • Leandro Cabral Zacharias

DOI
https://doi.org/10.37039/1982.8551.20230034
Journal volume & issue
Vol. 82

Abstract

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ABSTRACT This is a case series about retinal arterial macroaneurysms in three patients recovered from COVID-19. None of them had previous past ocular and systemic history. The first patient was a 47-year-old man, with best-corrected visual acuity of 20/20 in both eyes. He presented a cotton wool spot in the right eye and two peripheral exudative retinal arterial macroaneurysms in the left eye. Laser photocoagulation was performed and best-corrected visual acuity remained stable. The second one was a 62-year-old-woman with acute visual loss in the right eye (best-corrected visual acuity of 20/400). There was vitreous hemorrhage and a peripheral retinal arterial macroaneurysm in the right eye. Laser photocoagulation was performed and best-corrected visual acuity improved to 20/20. The third patient was a 54-year-old woman, with best-corrected visual acuity of 20/20 in the right eye and 20/600 in the left eye. Fundus examination showed multiple layer hemorrhage in the macular region and retinal arterial macroaneurysms in the superior temporal branch. The cases underwent fluorescein angiography, which confirmed the diagnosis of retinal arterial macroaneurysms.

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