Bilateral paracentral acute middle maculopathy in a SARS-CoV-2-positive patient.

TLDR: In this article, a 28-year-old man was admitted to hospital for surgical repair of a distal femur fracture sustained during a road traffic accident, and his respiratory status declined, and he was transferred to intensive care unit (ICU) for ventilatory support due to confirmed SARS-CoV2 infection.

Abstract: A 28-year-old man was admitted to hospital for surgical repair of a distal femur fracture sustained during a road traffic accident. Recovery was complicated by a pulmonary embolism. Two days later, his respiratory status declined, and he was transferred to intensive care unit (ICU) for ventilatory support due to confirmed SARS-CoV-2 infection. He reported bilateral reduced vision after being discharged from ICU. Visual acuities were 6/18 right and 6/12 left. Dilated funduscopy revealed bilateral cotton wool spots and small, sparse mid-peripheral intraretinal haemorrhages (figure 1). Discrete areas of retinal pallor involving the fovea were consistent with paracentral acute middle maculopathy (PAMM), confirmed on optical coherence tomography (OCT) (figure 2). Figure 1 Fundus autofluorescence of the right eye (A) and left eye (B) showing bilateral cotton wool spots …