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Iranian Journal of Medical Sciences، جلد ۴۸، شماره ۱، صفحات ۹۸-۱۰۱
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عنوان انگلیسی Multiple Evanescent White Dot Syndrome Associated with Coronavirus Infection: A Case Report
چکیده انگلیسی مقاله Coronavirus disease 2019 (COVID-19) causes ocular manifestations in approximately 11% of patients. Most patients typically develop ocular symptoms within 30 days of the onset of the first COVID-19 symptoms. The most common ocular manifestation is conjunctivitis, which affects nearly 89% of patients with eye problems. Other much less common anterior segment abnormalities caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are scleritis, episcleritis, and acute anterior uveitis. Posterior segment abnormalities caused by SARS-CoV-2 are mainly vascular, such as hemorrhages, cotton wool spots, dilated veins, and vasculitis. Herein, we report a rare manifestation of COVID-19 and multiple evanescent white dot syndrome (MEWDS) of the retina. In April 2021, a 40-year-old female patient was admitted to the Eye Clinic of Clinical Center of Montenegro (Podgorica, Montenegro). The patient’s main complaint was sudden vision impairment, which occurred 14 days after a positive polymerase chain reaction (PCR) test result for SARS-CoV-2 infection. A complete eye examination was performed, followed by fundoscopy, optical coherence tomography (OCT), and fluorescein angiography (FA) tests. The results showed retinal changes associated with MEWDS. The patient underwent additional examinations to rule out common causes of multifocal retinitis, all of which were unremarkable. Therefore, it was concluded that retinitis was a complication of COVID-19. Given its non-invasive nature, fundus examination should be used as a standard screening method for retinal changes in patients with COVID-19. 
کلیدواژه‌های انگلیسی مقاله COVID-19, Visual Acuity, White dot syndromes, Vasculitis, Immunity
نویسندگان مقاله Antoaneta Adzic Zecevic |
Eye Clinic, Clinical Center of Montenegro and Medical Faculty, University of Montenegro, Podgorica, Montenegro

Dragan Vukovic |
Eye Clinic, Clinical Center of Serbia, Belgrade, Serbia

Maja Djurovic |
Eye Clinic, Clinical Center of Montenegro, Podgorica, Montenegro

Zoran Lutovac |
Private Eye Clinic ‘Dr Lutovac’, Berane, Montenegro

Ksenija Zecevic |
School of Medicine, University of Montenegro, Podgorica, Montenegro

نشانی اینترنتی https://ijms.sums.ac.ir/article_48902_06c031c2257c01357082ff8611b1eaaa.pdf
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