Acta Scientific Ophthalmology (ISSN: 2582-3191)

Short Communication Volume 4 Issue 9

Post-COVID Visual Hallucination

Abhidnya Surve1*, Ranjana Deshmukh2, Mallika Buche3 and Govind Deshmukh1

1Department of Ophthalmology, Dr. Hedgewar Rugnalaya, Aurangabad, Maharashtra, India
2Department of Medicine, Dr. Hedgewar Rugnalaya, Aurangabad, Maharashtra, India
3Department of Radiology, Dr. Hedgewar Rugnalaya, Aurangabad, Maharashtra, India

*Corresponding Author: Abhidnya Surve, Consultant - Ophthalmology (Vitreo-retina, Uvea and ROP Services), Dr. Hedgewar Hospital, Aurangabad, Maharashtra, India.

Received: May 23, 2021; Published: August 18, 2021

Keywords: COVID; Visual hallucination; Confrontation Test

A 52-year-old male with a history of diabetes mellitus and hypertension for 10 years presented with complaints of visualization of colored sparks and absurd figures in the left eye (LE) for the last 3 days. These were very disturbing for the patient. He had history of mild headache but no complaints of giddiness or vomiting. There was no history of trauma or any medication intake other than that for diabetes and hypertension. He had suffered COVID infection 30 days back (RTPCR positive) for which he received treatment outside (oral azathioprine, hydroxychloroquine, steroids and favipiravir). Also, he complained of having poor vision in the right eye (RE) since 8 years for which no treatment was received. On examination, RE had visual acuity of perception of light with the projection of rays (PR) inaccurate and LE had a vision of 6/18 with accurate PR. RE had divergent squint with RAPD and neovascularization of iris. Intraocular pressure was 16 mmHg in RE and 12 mmHg in LE. On fundus examination, RE had proliferative diabetic retinopathy (DR) with neovascularization of disc with old retinal detachment while LE had non-proliferative DR with clinically significant macular edema without any disc involvement. The confrontation test suggested the constriction of the temporal field of left side. Perimetry of left eye showed left side temporal hemianopia (Figure 1a).

References

  1. Paterson RW., et al. “The emerging spectrum of COVID-19 neurology: clinical, radiological and laboratory findings”. Brain 143 (2020): 3104-3120.
  2. Verkhratsky A., et al. “Can COVID-19 pandemic boost the epidemic of neurodegenerative diseases?” Biol Direct (2020): 15.
  3. Clouden TA. “Persistent Hallucinations in a 46-Year-Old Woman After COVID-19 Infection: A Case Report”. Cureus 12 (2020).
  4. Pang L. “Hallucinations Experienced by Visually Impaired: Charles Bonnet Syndrome”. Optometry and Vision Science Journal, the official journal of the American Academy of Optometry 93 (2016): 1466-1478.
  5. Jones L., et al. “Exacerbation of visual hallucinations in Charles Bonnet syndrome due to the social implications of COVID-19”. British Journal of Ophthalmology (2021): 6.

Citation

Citation: Abhidnya Surve., et al. “Post-COVID Visual Hallucination".Acta Scientific Ophthalmology 4.9 (2021): 37-38.

Copyright

Copyright: © 2021 Abhidnya Surve., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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