Acute macular neuroretinopathy following COVID-19 vaccination

Bøhler, Anders Djupesland; Strøm, Marianne Ekornes; Sandvig, Kjell Ulrik; Moe, Morten Carstens; Jørstad, Øystein Kalsnes; Zaheer, Naima; Renju, Mary Philo; Chavan, Randhir

PURPOSE: To report a case of acute macular neuroretinopathy following the vaccination for Coronavirus disease 2019 (COVID-19). PATIENT: A 22 years old, Caucasian female. METHODS: Patient presented with symptoms of paracentral scotomas within a week of receiving COVID-19 vaccination. Complete evaluation was carried out using multimodal imaging techniques. RESULTS: Spectral domain Optical coherence tomography and near-infrared imaging showed characteristic features of acute macular neuroretinopathy.Discussion / Conclusion: To the best of our knowledge this is the first reported case of acute macular neuroretinopathy after COVID-19 vaccination. Optical coherence tomography angiography did not reveal any signal attenuation and multifocal electroretinogram and central visual fields were normal indicating that near-infrared imaging and spectral domain optical coherence tomography remain the gold standard in diagnosing this condition especially in smaller lesions.