58-year-old patient with double vision diagnosed with COVID-19
BMJ Case Reports authors have described their treatment of an undiagnosed diabetic who presented with vertical diplopia and abnormal eye movement
The case is described by clinicians in BMJ Case Reports, with the authors highlighting that neuro-ophthalmic symptoms may be the only manifestation of COVID-19.
The patient presented to hospital after suffering from vertical diplopia for 10 days.
An examination of extraocular movement indicated internuclear ophthalmoplegia.
Further testing revealed the patient had COVID-19 and previously undiagnosed diabetes.
Following treatment, a four-week follow up appointment revealed that the patient was free of diplopia and his eye movements were back to normal. He returned a negative COVID-19 test.
The authors highlighted: “Neuro-ophthalmic manifestations in COVID-19 are increasingly being recognised around the world.”
Scientists have previously described the discovery of eye nodules in patients with a history of severe COVID-19.
The findings published in Radiology described how nine patients within a group of 129 had one or more hyperintense nodules in the posterior pole of the globe.