Yıl: 2023 Cilt: 53 Sayı: 2 Sayfa Aralığı: 124 - 129 Metin Dili: Türkçe DOI: 10.4274/tjo.galenos.2022.36930 İndeks Tarihi: 31-05-2023

COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi

Öz:
Koronavirüs hastalığı 2019 (COVID-19), klinik olarak trombotik komplikasyon riskini artıran prokoagülan bir hastalıktır. Bu makalede COVID-19 tanısını takiben ortaya çıkan farklı retinal arter tıkanıklığı tiplerinden oluşan 3 olgu sunulmaktadır. İlk olgu, bir gözde görme kaybı ile sonuçlanan bir santral retinal arter tıkanıklığı (SRAT) olgusudur. İkinci olguda görmeyi etkilemeyen enflamatuvar periferik retinal arter oklüzyonu, vaskülit ve üveit tablosu bulunmaktadır. Üçüncü olgu, orbital selülitin orbital apeks sendromuna ilerlemesini izleyen SRAT ile başvurmuştur. İlginç bir şekilde, SRAT bu olguda birkaç gün içinde internal karotid arter oklüzyonuna ilerlemiş ve monoküler görme kaybı ile sonuçlanmıştır. Altta yatan patofizyolojideki varyasyonlar ve COVID-19 olgularında bireysel immün yanıtların özellikleri, klinik belirtilerdeki farklılıkları belirleyen faktörler olabilir. Bu makale, COVID-19 ile ilişkili retinal arter tıkanıklıklarının farklı sunumlarını tanımlamayı ve olası patofizyolojik yönleri tartışmayı amaçlamaktadır.
Anahtar Kelime:

Different Cases, Different Manifestations of Post-COVID-19 Retinal Artery Occlusion: A Case Series

Öz:
Coronavirus disease 2019 (COVID-19) is a procoagulant disease that increases the risk of clinically evident thrombotic complications. Herein we present 3 cases with different retinal artery occlusions that emerged soon after the diagnosis of COVID-19. The first patient had central retinal artery occlusion (CRAO) that resulted in visual loss in one eye. The second patient had inflammatory peripheral retinal artery occlusion, vasculitis, and uveitis which did not affect vision. The third patient presented with CRAO following the progression from orbital cellulitis to orbital apex syndrome. Interestingly, CRAO progressed to internal carotid artery occlusion in this case within days and resulted in monocular visual loss. Variations in the underlying pathophysiology and the characteristics of individual immune responses in patients with COVID-19 may be factors that determine differences in clinical manifestations. This article aims to describe different presentations of COVID-19-related retinal artery occlusions and discuss possible pathophysiological aspects.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Jin Y, Yang H, Ji W, Wu W, Chen S, Zhang W, Duan G. Virology, Epidemiology, Pathogenesis, and Control of COVID-19. Viruses. 2020;12:372.
  • 2. Amesty MA, Alió Del Barrio JL, Alió JL. COVID-19 Disease and Ophthalmology: An Update. Ophthalmol Ther. 2020;9:1-12.
  • 3. Marini JJ, Gattinoni L. Management of COVID-19 Respiratory Distress. JAMA. 2020;323:2329-2330.
  • 4. Piazza G, Morrow DA. Diagnosis, Management, and Pathophysiology of Arterial and Venous Thrombosis in COVID-19. JAMA. 2020;324:2548- 2549.
  • 5. Ghannam M, Alshaer Q, Al-Chalabi M, Zakarna L, Robertson J, Manousakis G. Neurological involvement of coronavirus disease 2019: a systematic review. J Neurol. 2020;267:3135-3153.
  • 6. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, Chang J, Hong C, Zhou Y, Wang D, Miao X, Li Y, Hu B. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77:683-690.
  • 7. Cugati S, Varma DD, Chen CS, Lee AW. Treatment options for central retinal artery occlusion. Curr Treat Options Neurol. 2013;15:63-77
  • 8. Klok FA, Kruip MJHA, van der Meer NJM, Arbous MS, Gommers DAMPJ, Kant KM, Kaptein FHJ, van Paassen J, Stals MAM, Huisman MV, Endeman H. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191:145-147
  • 9. Cui S, Chen S, Li X, Liu S, Wang F. Prevalence of venous thromboembolism in patients with severe novel coronavirus pneumonia. J Thromb Haemost. 2020;18:1421-1424
  • 10. Levi M, Thachil J, Iba T, Levy JH. Coagulation abnormalities and thrombosis in patients with COVID-19. Lancet Haematol. 2020;7:438-440.
  • 11. Levolger S, Bokkers RPH, Wille J, Kropman RHJ, de Vries JPM. Arterial thrombotic complications in COVID-19 patients. J Vasc Surg Cases Innov Tech. 2020;6:454-459.
  • 12. Invernizzi A, Pellegrini M, Messenio D, Cereda M, Olivieri P, Brambilla AM, Staurenghi G. Impending Central Retinal Vein Occlusion in a Patient with Coronavirus Disease 2019 (COVID-19). Ocul Immunol Inflamm. 2020;28:1290-1292.
  • 13. Rapkiewicz AV, Mai X, Carsons SE, Pittaluga S, Kleiner DE, Berger JS, Thomas S, Adler NM, Charytan DM, Gasmi B, Hochman JS, Reynolds HR. Megakaryocytes and platelet-fibrin thrombi characterize multi-organ thrombosis at autopsy in COVID-19: A case series. EClinicalMedicine. 2020;24:100434.
  • 14. Colling ME, Kanthi Y. COVID-19-associated coagulopathy: An exploration of mechanisms. Vasc Med. 2020;25:471-478
  • 15. Tay MZ, Poh CM, Rénia L, MacAry PA, Ng LFP. The trinity of COVID-19: immunity, inflammation and intervention. Nat Rev Immunol. 2020;20:363- 374.
  • 16. McFadyen JD, Stevens H, Peter K. The Emerging Threat of (Micro) Thrombosis in COVID-19 and Its Therapeutic Implications. Circ Res. 2020;127:571-587.
  • 17. Iba T, Levy JH, Levi M, Thachil J. Coagulopathy in COVID-19. J Thromb Haemost. 2020;18:2103-2109.
  • 18. Gheblawi M, Wang K, Viveiros A, Nguyen Q, Zhong JC, Turner AJ, Raizada MK, Grant MB, Oudit GY. Angiotensin-Converting Enzyme 2: SARS-CoV-2 Receptor and Regulator of the Renin-Angiotensin System: Celebrating the 20th Anniversary of the Discovery of ACE2. Circ Res. 2020;126:1456-1474.
  • 19. Lillicrap D. Disseminated intravascular coagulation in patients with 2019- nCoV pneumonia. J Thromb Haemost. 2020;18:786-787
  • 20. Yadav V, Chi L, Zhao R, Tourdot BE, Yalavarthi S, Jacobs BN, Banka A, Liao H, Koonse S, Anyanwu AC, Visovatti SH, Holinstat MA, Kahlenberg JM, Knight JS, Pinsky DJ, Kanthi Y. Ectonucleotidase tri(di)phosphohydrolase-1 (ENTPD-1) disrupts inflammasome/interleukin 1 -driven venous thrombosis. J Clin Invest. 2019;129:2872-2877.
  • 21. Ali RA, Gandhi AA, Meng H, Yalavarthi S, Vreede AP, Estes SK, Palmer OR, Bockenstedt PL, Pinsky DJ, Greve JM, Diaz JA, Kanthi Y, Knight JS. Adenosine receptor agonism protects against NETosis and thrombosis in antiphospholipid syndrome. Nat Commun. 2019;10:1916.
  • 22. Chang JC. Acute Respiratory Distress Syndrome as an Organ Phenotype of Vascular Microthrombotic Disease: Based on Hemostatic Theory and Endothelial Molecular Pathogenesis. Clin Appl Thromb Hemost. 2019;25:1076029619887437.
  • 23. van der Poll T, Herwald H. The coagulation system and its function in early immune defense. Thromb Haemost. 2014;112:640-648
  • 24. Lefrançais E, Mallavia B, Zhuo H, Calfee CS, Looney MR. Maladaptive role of neutrophil extracellular traps in pathogen-induced lung injury. JCI Insight. 2018;3:e98178.
  • 25. Benito-Pascual B, Gegúndez JA, Díaz-Valle D, Arriola-Villalobos P, Carreño E, Culebras E, Rodríguez-Avial I, Benitez-Del-Castillo JM. Panuveitis and Optic Neuritis as a Possible Initial Presentation of the Novel Coronavirus Disease 2019 (COVID-19). Ocul Immunol Inflamm. 2020;28:922-925.
  • 26. Bagheri M, Jafari A, Jafari S. Orbital apex syndrome in COVID-19 patient, a case report. Vis J Emerg Med. 2021;23:101006.
  • 27. Ucar F, Cetinkaya S. Central retinal artery occlusion in a patient who contracted COVID-19 and review of similar cases. BMJ Case Rep. 2021;14:e244181.
  • 28. Been Sayeed SKJ, Chandra Das S, Mahmud R, Moniruzzaman M, Rahman MM. Acute Ischemic Stroke With Central Retinal Artery Occlusion as a Rare Presentation of COVID-19 Disease. Cureus. 2021;13:e17469.
  • 29. Ozsaygılı C, Bayram N, Ozdemir H. Cilioretinal artery occlusion with paracentral acute middle maculopathy associated with COVID-19. Indian J Ophthalmol. 2021;69:1956-1959.
APA Yalcinbayir O, Ucan Gunduz G, Coskun F, Hakyemez B, Doganay S (2023). COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. , 124 - 129. 10.4274/tjo.galenos.2022.36930
Chicago Yalcinbayir Ozgur,Ucan Gunduz Gamze,Coskun Funda,Hakyemez Bahattin,Doganay Selim COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. (2023): 124 - 129. 10.4274/tjo.galenos.2022.36930
MLA Yalcinbayir Ozgur,Ucan Gunduz Gamze,Coskun Funda,Hakyemez Bahattin,Doganay Selim COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. , 2023, ss.124 - 129. 10.4274/tjo.galenos.2022.36930
AMA Yalcinbayir O,Ucan Gunduz G,Coskun F,Hakyemez B,Doganay S COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. . 2023; 124 - 129. 10.4274/tjo.galenos.2022.36930
Vancouver Yalcinbayir O,Ucan Gunduz G,Coskun F,Hakyemez B,Doganay S COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. . 2023; 124 - 129. 10.4274/tjo.galenos.2022.36930
IEEE Yalcinbayir O,Ucan Gunduz G,Coskun F,Hakyemez B,Doganay S "COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi." , ss.124 - 129, 2023. 10.4274/tjo.galenos.2022.36930
ISNAD Yalcinbayir, Ozgur vd. "COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi". (2023), 124-129. https://doi.org/10.4274/tjo.galenos.2022.36930
APA Yalcinbayir O, Ucan Gunduz G, Coskun F, Hakyemez B, Doganay S (2023). COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. Türk Oftalmoloji Dergisi, 53(2), 124 - 129. 10.4274/tjo.galenos.2022.36930
Chicago Yalcinbayir Ozgur,Ucan Gunduz Gamze,Coskun Funda,Hakyemez Bahattin,Doganay Selim COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. Türk Oftalmoloji Dergisi 53, no.2 (2023): 124 - 129. 10.4274/tjo.galenos.2022.36930
MLA Yalcinbayir Ozgur,Ucan Gunduz Gamze,Coskun Funda,Hakyemez Bahattin,Doganay Selim COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. Türk Oftalmoloji Dergisi, vol.53, no.2, 2023, ss.124 - 129. 10.4274/tjo.galenos.2022.36930
AMA Yalcinbayir O,Ucan Gunduz G,Coskun F,Hakyemez B,Doganay S COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. Türk Oftalmoloji Dergisi. 2023; 53(2): 124 - 129. 10.4274/tjo.galenos.2022.36930
Vancouver Yalcinbayir O,Ucan Gunduz G,Coskun F,Hakyemez B,Doganay S COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi. Türk Oftalmoloji Dergisi. 2023; 53(2): 124 - 129. 10.4274/tjo.galenos.2022.36930
IEEE Yalcinbayir O,Ucan Gunduz G,Coskun F,Hakyemez B,Doganay S "COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi." Türk Oftalmoloji Dergisi, 53, ss.124 - 129, 2023. 10.4274/tjo.galenos.2022.36930
ISNAD Yalcinbayir, Ozgur vd. "COVID-19 Sonrası Retinal Arter Oklüzyonunda Farklı Olgular, Farklı Belirtiler: Olgu Serisi". Türk Oftalmoloji Dergisi 53/2 (2023), 124-129. https://doi.org/10.4274/tjo.galenos.2022.36930