Post-COVID ischemic maculopathy – A case report

Abstract

We report a case of post-COVID ischemic maculopathy, which has not been seen previously in COVID-associated retinal findings. The patient presented with sudden onset loss of vision following COVID infection and was treated at a local hospital. Fundus examination revealed ischemic patches interspersed with blot hemorrhages around the macula. Fundus fluorescein angiography demonstrated delayed filling of macular vessels and nonperfusion of the macula. There were signs of hyperreflectivity of the nerve fiber layer and disorganization of the inner retinal layers with foveal atrophy on optical coherence tomography. The patient responded to steroids with improvement in visual acuity. Coronavirus disease 2019 can cause vascular events such as macular infarction in healthy young people.