Three Cases of Arteritic Anterior Optic Neuropathy Several Months after COVID-19 Vaccination

• Published in: Case reports in ophthalmological medicine 2023-09, Vol.2023, p.1-6
• Main Authors: Yamamoto, Yuichi, Ogino, Ken, Yasuhara, Satoshi, Kawashima, Yu, Miki, Toshiya
• Format: Article
• Language: English
• Subjects: Antibodies; Biopsy; Blood; Blood tests; C-reactive protein; Cartilage; Case Report; Case reports; Coronaviruses; COVID-19 vaccines; Headaches; Hospitals; Ischemia; Magnetic resonance imaging; Medical examination; Microscopy; mRNA vaccines; Neutrophils; Optic nerve; Steroids; Vaccination; Vein & artery diseases; Visual acuity
• ISSN: 2090-6722; 2090-6730
• DOI: 10.1155/2023/8845850

Background. Vaccines have been approved worldwide to control the coronavirus disease-19 (COVID-19). However, the postvaccination side effects remain controversial. Here, we describe three Japanese cases of arteritic anterior ischaemic optic neuropathy (AAION) following COVID-19 vaccination. Case presentation. The first case involved an 87-year-old woman who presented with vision loss in the right eye 2 months after her second COVID-19 vaccine and in the left eye 2 days later. The second case involved an 88-year-old woman who presented with vision loss in both eyes 3 months after receiving a second vaccine. The third case involved an 80-year-old man who presented with vision loss in the right eye 5 months after receiving a second vaccine. The C-reactive protein level and erythrocyte sedimentation rate were elevated in all patients. Biopsy of the temporal artery or auricular cartilage showed arteritic occlusion in case 2 and polychondritis in case 3. These patients were referred to a local Japanese hospital in 2021 over a period of no longer than 3 months. Conclusion. We observed three cases of AAION after the affected individuals received their second COVID-19 vaccine. Further long-term investigations of ophthalmological events after COVID-19 vaccination are warranted.