Unilateral optic neuritis after vaccination against the coronavirus disease: two case reports

Background Due to the emergence of COVID-19, many countries have started mass immunization programs. To date, no cases of optic neuritis following COVID-19 vaccination have been reported in the literature. Case presentation Objective: Here, we report 2 cases of unilateral optic neuritis after vaccin...

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Bibliographic Details
Published in:Documenta ophthalmologica 2022-08, Vol.145 (1), p.65-70
Main Authors: Wang, Jiajun, Huang, Sumin, Yu, Zhijian, Zhang, Shu, Hou, Guanghui, Xu, Shuyi
Format: Article
Language:English
Subjects:
Acuity
Case reports
Clinical Case Reports
Coronaviruses
COVID-19 vaccines
Immunization
Intravenous administration
Medicine
Medicine & Public Health
Methylprednisolone
Myelin
Neuritis
Oligodendrocyte-myelin glycoprotein
Ophthalmology
Optic neuritis
Patients
Vaccination
Vaccines
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Summary:Background Due to the emergence of COVID-19, many countries have started mass immunization programs. To date, no cases of optic neuritis following COVID-19 vaccination have been reported in the literature. Case presentation Objective: Here, we report 2 cases of unilateral optic neuritis after vaccination against COVID-19 using the Sinopharm vaccine (Sinopharm Group Co. Ltd, China). Design The clinical history, examination, and test findings of two individuals with unilateral optic neuritis associated with the timing of COVID-19 vaccination were described and further analyzed. Setting Two patients developed optic neuritis after receiving the COVID-19 vaccine. One patient developed optic neuritis 6 weeks after the first dose and 3 weeks after the second dose. The other patient developed optic neuritis 3 weeks after the first dose. Participants: Two female patients, aged 21 and 39 years. Result The patients were successfully treated with intravenous methylprednisolone pulse therapy. Both patients had typical manifestations of optic neuritis and their visual acuity recovered fully after treatment. The second of these patients was positive for anti-myelin oligodendrocyte glycoprotein antibodies (MOG). Conclusion Optic neuritis is a potential adverse effect after vaccination against the coronavirus disease (COVID-19).
ISSN:0012-4486
1573-2622
DOI:10.1007/s10633-022-09880-0