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Bulgarian Review of Ophthalmology

Unusual Presentation Of Self-Limiting Chorioretinopathy Possibly Associated With COVID-19

D. Popov, V. Dudulova, G. Popova, M. Mineva


The paper reports on an unusual presentation of self-limiting chorioretinopathy possibly associated with COVID-19 in a 47-year-old woman previously tested positive for SARS-COV-2 by PCR, who presented with decreased VA in her right eye on day 15 after testing. The only symptom she had was anosmia and аgeusia. No therapy was taken during the 14-days quarantine period. The anterior segment was unremarkable on slit lamp examination in both eyes. Fundus examination of the left eye showed no significant findings. On the other hand, the examination of the right eye revealed yellowish creamy deep chorioretinal lesion in central retina. Two weeks later the patient came back for follow-up and it was found that the lesion was decreased in size, with VA improvement. Ocular signs in COVID-19 cases are rarely reported, and most of the ophthalmological changes have been associated usually with viral conjunctivitis. Researchers report also finding such as cotton wool spots, microhemorrhages and some OCT-changes. This case illustrates the possible association between COVID-19 and retinopathy despite the almost asymptomatic presentation.


COVID-19, chorioretinopathy, unusual presentation, yellowish creamy deep lesion

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COVID-19 Clinical management: living guidance 25 January 2021 – WHO/2019-nCoV/clinical/2021.1

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About The Authors

D. Popov
Medical center “VisArt” – Plovdiv

V. Dudulova
Medical center “VisArt” – Plovdiv

G. Popova
Medical center “VisArt” – Plovdiv

M. Mineva
USHATOG “Selena” – Plovdiv