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Year : 2022  |  Volume : 34  |  Issue : 1  |  Page : 121-123

Bilateral central retinal vein occlusion and stevens-johnson syndrome associated with Coronavirus-19: A case report

1 Department of Ophthalmology, Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran
2 Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
3 Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran

Correspondence Address:
Nami Mohammadian Khonsari
Alborz University of Medical Sciences, Karaj
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joco.joco_277_21

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Purpose: To report a case of bilateral central retinal vein occlusion (CRVO) associated with coronavirus-19 (COVID-19) infection. Methods: A 43-year-old man presented to the emergency department with flu-like symptoms, severe erythema, a rash on his face, and respiratory distress. He was admitted to the intensive care unit, and the reverse transcriptase-polymerase chain reaction test was positive for the severe acute respiratory syndrome coronavirus-2 virus. The routine blood work was unremarkable. The dermatologist noted positive Nikolsky's sign, and the patient was diagnosed with Stevens–Johnson syndrome (SJS), which affected 18% of his body and was later confirmed by skin biopsy. Later, he reported worsening vision. Results: Ophthalmic examination and fundus fluorescein angiography showed bilateral CRVO. Despite best medical efforts, including treatment with systemic dexamethasone and remdesivir, the patient died on the 6 days of his hospitalization. Conclusion: This was a rare bilateral CRVO and SJS case in a young patient, probably caused by the COVID-19 infection.

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