COVID19 and Retinal OCT in Australia: A Case Study
11 Pages Posted: 7 Jul 2020
Date Written: June 17, 2020
Healthy 31-year-old COVID19 survivor, Mrs CV, presented for routine eye examination in Brisbane Australia.
Mild hyper reflective lesions at the level of the ganglion cell and inner plexiform layers in both eyes were detected, and slight vascular distension of the inferior vascular arcades observed in the LE with optical coherence tomography (OCT), as well as slight central visual field defect in the right eye. In isolation both these subclinical observations are important, but together they point to further research required specifically in the area of the form and function of the papillomacular bundle and the way it responds to neuro invasive viral infection.
Still the absence of cotton wool spots and the absence of micro-haemorrhages means that there is not sufficient evidence of retinopathy and she remains subclinical with further review examinations pending.
This primary care optometry encounter with a patient who has recovered from COVID19 highlights the current gaps in knowledge, as well as the importance of peer reviewed correspondence, and finally a principled approach to the provision of safe and effective health care.
Note: Funding: None to declare
Declaration of Interest: None to declare
Keywords: COVID19, OCT, retina, Visual field analysis, neuro-ophthalmology, optometry
JEL Classification: I100
Suggested Citation: Suggested Citation