دورية أكاديمية
Adie's tonic pupil after COVID-19: a case report and literature review.
العنوان: | Adie's tonic pupil after COVID-19: a case report and literature review. |
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المؤلفون: | Çakır GY; University of Health Sciences Turkey, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey., Paşaoğlu IB; University of Health Sciences Turkey, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey., Çakır İ; University of Health Sciences Turkey, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey., Solmaz B; Ophthalmology Department, Medipol University, Faculty of Medicine, Istanbul, Turkey. |
المصدر: | Romanian journal of ophthalmology [Rom J Ophthalmol] 2024 Apr-Jun; Vol. 68 (2), pp. 89-91. |
نوع المنشور: | Case Reports; Review; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Romanian Society of Ophthalmology Country of Publication: Romania NLM ID: 101677459 Publication Model: Print Cited Medium: Internet ISSN: 2501-2533 (Electronic) Linking ISSN: 24574325 NLM ISO Abbreviation: Rom J Ophthalmol Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Bucharest, Romania : Romanian Society of Ophthalmology |
مواضيع طبية MeSH: | COVID-19*/diagnosis , COVID-19*/complications , SARS-CoV-2* , Tonic Pupil*/diagnosis , Tonic Pupil*/etiology, Adult ; Female ; Humans ; Anisocoria/diagnosis ; Anisocoria/etiology |
مستخلص: | Objective: 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. Methods: The study was a case report. Results: 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. Discussion: 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. Conclusions: 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. Abbreviations: RT PCR = reverse transcription polymerase chain reaction. (#x00A9; The Authors.Romanian Society of Ophthalmology.) |
References: | J Neuroophthalmol. 2021 Dec 1;41(4):e764-e766. (PMID: 33492032) Trans Am Ophthalmol Soc. 1977;75:587-626. (PMID: 613531) J Neurovirol. 2020 Dec;26(6):970-972. (PMID: 32910433) Lancet Neurol. 2020 Sep;19(9):767-783. (PMID: 32622375) Arch Soc Esp Oftalmol. 2021 Jul;96(7):353-355. (PMID: 34629696) Int Ophthalmol. 2022 Sep;42(9):2847-2854. (PMID: 35380318) Ocul Immunol Inflamm. 2020 Nov 16;28(8):1285-1289. (PMID: 33021422) Indian J Ophthalmol. 2021 Mar;69(3):773-774. (PMID: 33595525) Graefes Arch Clin Exp Ophthalmol. 2021 Sep;259(9):2821-2826. (PMID: 33907887) Am J Ophthalmol. 2002 Mar;133(3):333-6. (PMID: 11860969) |
فهرسة مساهمة: | Keywords: Adie’s tonic pupil; COVID-19; anisocoria; pilocarpine |
تواريخ الأحداث: | Date Created: 20240715 Date Completed: 20240715 Latest Revision: 20240716 |
رمز التحديث: | 20240717 |
مُعرف محوري في PubMed: | PMC11238870 |
DOI: | 10.22336/rjo.2024.18 |
PMID: | 39006340 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2501-2533 |
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DOI: | 10.22336/rjo.2024.18 |