Case report
A 35-year-old female patient with no significant medical history
presented to our ophthalmic outpatient department with one week of
bilateral blurred vision. She mentioned that fever, headache and cough
occurred 2 weeks ago. And she was tested positive for SARS CoV-2 by
polymerase chain reaction (PCR) at that moment. She had no history of
ocular trauma or surgery prior to the occurrence of uveitis.
Ophthalmological examinations showed her best corrected visual acuity
(BCVA) was 0.8 in the right eye and 0.7 in the left eye when converted
to logarithm of the minimal angle of resolution (LogMAR). Intraocular
pressure was 21mmHg on the right eye and 22 mmHg on the left eye. Upon
examination under a slit lamp, no keratic precipitates or flare were
detected in the anterior segment, while vitreous opacities were grade 1+
inflammatory cells in both eyes. Fundscopic examination showed bullous
serous retinal detachments (SRD) with subretinal fluid in the posterior
retina of both eyes (Figure 1A, B). Furthermore, optical coherence
tomography (OCT), B-scan ultrasonography and Fundus Fluorescein
angiography (FFA) were also performed. OCT indicated more details of
SRDs, cystoid spaces in the neurosensory layer of the retina, which was
divided into several compartments by subretinal septa. OCT also showed
the folds of RPE and bacillary layer detachment (BLD) (Figure 1C, D).
FFA indicated multiple punctate fluorescein leakages and pooling of the
dye in areas of SRDs, and optic disc hyperfluorescence (Figure 1E, F).
B-scan ultrasonography showed SRD and thickening of the posterior
choroid in both eyes, while there was no evidence of posterior scleritis
(Figure 2 A, B).