Bilateral central retinal vein occlusion in a 40-year-old man with severe coronavirus disease 2019 (covid-19) pneumonia
International Journal of Development Research
Bilateral central retinal vein occlusion in a 40-year-old man with severe coronavirus disease 2019 (covid-19) pneumonia
Received 19th January, 2021 Received in revised form 26th January, 2021 Accepted 14th February, 2021 Published online 30th March, 2021
Copyright © 2021, Dan Călugăru and Mihai Călugăru. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The authors are commenting on the study entitled: “Bilateral central retinal vein occlusion in a 40-year-old man with severe coronavirus disease 2019 (COVID 19) pneumonia” published by Waqar et al. in Am J Case Rep 2020;21:e927691-1-e927691-5, which reported the first case of bilateral central retinal vein occlusion in a 40-year old man with severe coronavirus disease 2019 (COVID-19) pneumonia. The authors concluded that the COVID-19 pneumonia combined with hypertension and morbid obesity led him to an inflammatory state that resulted in bilateral central retinal vein occlusion. The lack of performing fluorescein angiography is the great limitation of this article. Fluorescein angiography would have been required in the presented case to make the complete diagnosis of disease, to establish the occlusion type (a milder form called nonischemic or a severe form called ischemic) of the bilateral central retinal vein occlusion, and to explain why the final visual acuity to the left eye remained significantly low (e.g., half the normal value) when discharged from the clinic.
