Non-arteritic anterior ischaemic optic neuropathy sequential to SARS-CoV-2 virus pneumonia: preventable by endothelial protection?

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Abstract

We present a case of non-arteritic anterior ischaemic optic neuropathy (NAION) with no ocular or systemic risk factors in a patient who recovered from a recent SARS-CoV-2 pneumonia. NAION is the most common acute optic neuropathy among individuals over 50 years of age. It results from a transient hypoperfusion of the optic nerve head circulation, especially in patients with low vascular compliance due to ocular or systemic risk factors. We attribute the ophthalmological condition to a SARS-CoV-2 virus-associated endotheliopathy that can be prevented with timely protection of endothelial function with vitamins D and K2.

Original languageEnglish
Article numbere240542
Number of pages5
JournalBMJ Case Reports
Volume14
Issue number7
DOIs
Publication statusPublished - 19 Jul 2021

Bibliographical note

© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords

  • COVID-19
  • Humans
  • Optic Disk
  • Optic Nerve
  • Optic Neuropathy, Ischemic/etiology
  • SARS-CoV-2
  • capillary
  • cranial nerves
  • eye

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