Abstract
Ophthalmic examination of a patient with active COVID-19 infection can be challenging. We describe a woman with active COVID-19 infection who was misdiagnosed initially as having conjunctivitis and later presented with acute angle-closure attack in both eyes. Intraocular pressure (IOP) on presentation was about 40 mmHg in both eyes. She was on multiple medications for her COVID-19 infection. A nonpupillary block mechanism of secondary angle closure was suspected and laser iridotomy was avoided. Her IOP was well controlled with medications. Due to significant cataract, phacoemulsification with IOL was performed using femto-assisted rhexis in lieu of the postdilatation IOP spike. There was good IOP control and 6/6 vision postoperatively. Bilateral angle closure of probable multifactorial cause can occur in COVID-19-positive patients.
Keywords
Publication details
- DOI
- 10.4103/ojo.ojo_311_22
- Journal
- Oman Journal of Ophthalmology, 17(2), 264-267
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Nivash, A., Mohan, S., Anand, N., Danasekar, S., & Rajan, M. (2024). Bilateral angle-closure attack in a COVID-19-positive patient. Oman Journal of Ophthalmology, 17(2), 264-267. https://doi.org/10.4103/ojo.ojo_311_22
MLA 9
Nivash, Archana, et al. "Bilateral angle-closure attack in a COVID-19-positive patient." Oman Journal of Ophthalmology, vol. 17, no. 2, 2024, pp. 264-267. https://doi.org/10.4103/ojo.ojo_311_22.
Chicago (author–date)
Nivash, Archana, Sujatha Mohan, Niranjana Anand, Sujitha Danasekar, and Mohan Rajan. 2024. "Bilateral angle-closure attack in a COVID-19-positive patient." Oman Journal of Ophthalmology 17 (2): 264-267. https://doi.org/10.4103/ojo.ojo_311_22.
Harvard
Nivash, A., Mohan, S., Anand, N., Danasekar, S. and Rajan, M. (2024) 'Bilateral angle-closure attack in a COVID-19-positive patient', Oman Journal of Ophthalmology, 17(2), pp. 264-267. doi:10.4103/ojo.ojo_311_22.
Vancouver
Nivash A, Mohan S, Anand N, Danasekar S, Rajan M. Bilateral angle-closure attack in a COVID-19-positive patient. Oman Journal of Ophthalmology. 2024;17(2):264-267. doi:10.4103/ojo.ojo_311_22
IEEE
A. Nivash, S. Mohan, N. Anand, S. Danasekar, and M. Rajan, "Bilateral angle-closure attack in a COVID-19-positive patient," Oman Journal of Ophthalmology, vol. 17, no. 2, pp. 264-267, 2024, doi: 10.4103/ojo.ojo_311_22.