Georgia retina pc11/12/2023 Autofluorescence in 1/4 eyes demonstrated hyperautofluorescence corresponding to the abnormal area on IR imaging (Fig. FA imaging did not show any abnormal fluorescence pattern. 4/4 eyes demonstrated typical findings of AMN: IR imaging with prominent dark petaloid or ovoid parafoveal lesions and corresponding disruption of the ellipsoid zone on OCT (Fig. Average logMAR visual acuity was 0.024 (Snellen 20/21, range 0–0.097). The average onset of visual symptoms from COVID-19 illness was 14 days (range 0–56). Imaging signs of AMN were revealed in four eyes in three female patients, aged 22, 32, and 64 years old, all with confirmed symptomatic COVID-19 corresponding to the start of visual symptoms. Patient demographic information, physical exam, optical coherence tomography (OCT), infrared reflectance (IR), and fluorescein angiography (FA) studies were all used for analysis. Three patients were identified by this method. Our practice’s electronic medical record (EMR) was retrospectively queried for patients from April 2020 to December 2021 who had been diagnosed with AMN or PAMM and COVID-19 illness. Using a retrospective, observational case series design, we describe a series of four eyes in three patients with acute macular neuroretinopathy (AMN) and paracentral acute middle maculopathy (PAMM) associated with COVID-19 illness. While ocular symptoms, chiefly conjunctivitis, have been reported, retinal pathologies have been suggested as a rarer complication and are hypothesized to derive from a combination of the inflammatory and vasculopathic effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Understanding of the ocular manifestations of coronavirus disease 2019 (COVID-19) is continuing to develop.
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