Ophthalmological complications of the new coronavirus infection COVID-19. Clinical cases
https://doi.org/10.21516/2072-0076-2024-17-1-119-124
Abstract
The outcomes and complications of the coronavirus infection are of interest to specialists in many fields of medicine, including ophthalmologists.
Purpose: to analyze the clinical features of ophthalmic complications in patients with coronavirus infection COVID-19.
Materials and methods. Four patients aged 37 to 70 years with ophthalmic inflammatory complications with coronavirus infection were examined and treated.
Results. In 2 cases, eye damage was observed in the acute phase of COVID infection. It included deep keratitis, iridocyclitis, and exacerbation of rhinosinusitis complicated by osteomyelitis, orbital phlegmon with loss of vision. In the remaining 2 cases, in the post-COVID period (2 and 5 months after the disease, respectively), acute dacryoadenitis with the dry eye syndrome and subacute episcleritis was observed. In addition to anti-COVID therapy, all patients underwent specific ophthalmic therapy, which in 1 case included surgical intervention.
Conclusion. The cases presented demonstrate eye damage against the background of coronavirus infection with the involvement of various eye structures into the inflammatory process. The ophthalmological manifestations were severe, with complications in the acute phase of COVID and in the early post-COVID period. Clinical observations indicate the need for additional specific therapy of coronavirus infection complications, along with the basic anti-COVID treatment.
About the Authors
E. A. LatypovaRussian Federation
Elmira A. Latypova — Cand. of Med. Sci., associate professor, chair of ophthalmology
3 Lenina St., Ufa, 450000
A. Sh. Zagidullina
Russian Federation
Aigul Sh. Zagidullina — Cand. of Med. Sci., associate professor, chair of ophthalmology
3 Lenina St., Ufa, 450000
T. R. Mukhamadeev
Russian Federation
Timur R. Mukhamadeev — Dr. of Med. Sci., head of chair of ophthalmology, Bashkir Medical State University; consultant doctor, CJSC “Optimedservice”
3 Lenina St., Ufa, 450000
8, 50 years of the USSR St., Ufa, 450083
M. A. Gizatullina
Russian Federation
Manal A. Gizatullina — Cand. of Med. Sci., chief physician
8, 50 years of the USSR St., Ufa, 450083
A. G. Yamlikhanov
Russian Federation
Aidar G. Yamlikhanov — Cand. of Med. Sci., head of the ophthalmology department
47, Koltsevaya St., Ufa, 450112
G. F. Khairullina
Russian Federation
Gulnaz F. Khairullina — ophthalmologist
8, 50 years of the USSR St., Ufa, 450083
References
1. Профилактика, диагностика и лечение новой коронавирусной инфекции (2019-n CoV). Временные методические рекомендации. Версия 1 (29.01.2020). Временные методические рекомендации. Диагностика, профилактика и лечение новой коронавирусной инфекции (COVID-19), версия 14 (27.12.2021) [Электронный ресурс]. Режим доступа: https://xn--80aesfpebagmfblc0a.xn--p1ai/ai/doc/1213/attach/vmr_COVID-19_V14_27-12-2021.pdf. Дата обращения: 02.06.2022.
2. Long B, Carius BM, Chavez S, et al. Clinical update on COVID-19 for the emergency clinician: Presentation and evaluation. American Journal of Emergency Medicine. 2022 Apr; 54: 46–57. doi: 10.1016/j.ajem.2022.01.028
3. Ahmad Malik J, Ahmed S, Shinde M et al. The impact of COVID-19 on comorbidities: A review of recent updates for combating it. Saudi Journal of Biological Sciences. 2022 May; 29 (5): 3586–99. doi: 10.1016/j.sjbs.2022.02.006
4. Callaway E. What Omicron's BA.4 and BA.5 variants mean for the pandemic. Nature. 2022 Jun; 606 (7916): 848–9. doi: 10.1038/d41586-022-01730-y. PMID: 35750920
5. Majchuk D.Ju., Atlas S.N., Loshkareva A.O. Ocular manifestations of coronavirus infection COVID-19 (clinical observation). Vestnik oftal'mologii. 2020; 136 (4): 118–23 (In Russ.).
6. Onufrijchuk O.N., Gazizova I.R., Maljugin B.E., Kuroedov A.V. Coronavirus infection (COVID-19): eye problems. Literature review. Fyodorov journal of ophthalmic surgery. 2020;3: 70–9 (In Russ.). doi: https://doi.org/10.25276/0235-4160-2020-3-70-79
7. Lebedev O.I., Surov A.V., Matnenko T.Yu., et al. Severe diseases of the anterior segment of the eye accompanied by somatic pathology and COVID-19: clinical cases under the pandemic. Russian ophthalmological journal. 2022; 15 (2 Suppl): 129–37 (In Russ.). https://doi.org/10.21516/2072-0076-2022-15-2-supplement-129-137
8. Fedorov S.A., Medvedev A.P., Maksimov A.L., et al. The first experience in the treatment of patients with pulmonary embolism that developed against the background of COVID-19. Klinicheskaja medicina. 2020; 98 (8): 612–8 (In Russ.).
9. Kamenskih T.G., Veselova E.V., Borisov A.V., Kamenskih I.D., Sysoljatina I.V. Ocular manifestations of coronavirus infection (COVID-19) (clinical cases). Saratovskij nauchno-medicinskij zhurnal. 2021. 17 (3): 639–42 (In Russ.). https://ssmj.ru/2021/3/639
10. Latypova Je.A., Zagidullina A.Sh., Muhamadeev T.R. Prolonged herpetic keratitis in a patient with coronavirus infection (Clinical case). Saratovskij nauchno-medicinskij zhurnal. 2021; 17 (4): 701–4 (In Russ.). https://ssmj.ru/2021/4/701
11. Prevention, diagnosis and treatment of novel coronavirus infection (COVID-19). Vremennye metodicheskie rekomendacii. Versija 8 (03.09.2020). Мoscow; 2020 (In Russ.).
12. Korelina V.E. Red eye syndrome. Rossijskij semejnyj vrach. 2020. 24 (1): 5–13 (In Russ.).
13. Isalieva A.A., Sarsembekova K.T. Bilateral dacryoadenitis against the background of rheumatoid arthritis: experience of treatment and rehabilitation. Aktual'nye problemy teoreticheskoj i klinicheskoj mediciny. 2022; 36 (2): 65–9 (In Russ.). doi: 10.24412/2790-1289-2022-2-6569
14. Singh S, Selva D. Non-infectious dacryoadenitis. Survey of Ophthalmology. 2022 Mar-Apr; 67 (2): 353–68. doi: 10.1016/j.survophthal.2021.05.011
15. Liu Y, Sawalha AH, Lu Q. COVID-19 and autoimmune diseases. Current Opinion in Rheumatology. 2021; Mar 1; 33 (2): 155–62. doi: 10.1097/BOR.0000000000000776
16. Karateev A.E. Rheumatological problems with COVID-19: from arthralgia to rheumatoid arthritis. Terapija. 2022; 2: 24–31 (In Russ.). doi:https://dx.doi.org/10.18565/therapy.2022.2.24-31
Review
For citations:
Latypova E.A., Zagidullina A.Sh., Mukhamadeev T.R., Gizatullina M.A., Yamlikhanov A.G., Khairullina G.F. Ophthalmological complications of the new coronavirus infection COVID-19. Clinical cases. Russian Ophthalmological Journal. 2024;17(1):119-124. (In Russ.) https://doi.org/10.21516/2072-0076-2024-17-1-119-124