The COVID-19 pandemic has had a significant impact on ocular health, both directly and indirectly. The virus can affect the eyes in multiple ways, from causing ocular manifestations to exacerbating existing conditions.
Sequel of COVID in the Eye:
1. Conjunctivitis (Pink Eye):
- COVID-19-associated conjunctivitis has been widely reported, often presenting as redness, itching, and watery eyes. It is thought to be one of the initial symptoms of COVID-19, although it is not specific to the disease.
- Management: Symptomatic treatment with artificial tears and anti-inflammatory drops can be used for relief.
2. Retinal Changes:
- There have been reports of retinal abnormalities in COVID-19 patients, including retinal vein occlusion (RVO) and microvascular changes in the retina. These changes may be linked to the hypercoagulable state induced by the virus.
- Management: In some cases, treatment with anti-VEGF therapy or corticosteroids may be required for retinal complications.
3. Dry Eye Disease:
- Dry eyes have been reported as a secondary symptom of COVID-19, possibly due to increased screen time during quarantine or the effects of the virus on tear production.
- Management: Lubricating eye drops and lid hygiene can help manage symptoms of dry eye.
4. Optic Neuropathy:
- There have been reports of optic neuropathy or optic neuritis associated with COVID-19, although the incidence is rare.
- Management: Patients with optic nerve involvement should be evaluated for systemic inflammatory diseases and may require steroids or immunosuppressive therapy.
5. Post-COVID Fatigue and Vision:
- Some individuals report visual disturbances as part of post-COVID fatigue syndrome, possibly due to the prolonged impact of the virus on the central nervous system.