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Non-Arteritic Ischemic Optic Neuropathy Following COVID-19 Vaccination in Korea: A Case Series
DC Field | Value | Language |
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dc.contributor.author | Moon, Y | - |
dc.contributor.author | Jung, JH | - |
dc.contributor.author | Shin, HJ | - |
dc.contributor.author | Choi, DG | - |
dc.contributor.author | Park, KA | - |
dc.contributor.author | Jeon, H | - |
dc.contributor.author | Lee, BJ | - |
dc.contributor.author | Kim, SJ | - |
dc.contributor.author | Oh, SY | - |
dc.contributor.author | Ahn, H | - |
dc.contributor.author | Chung, SA | - |
dc.contributor.author | Kim, US | - |
dc.contributor.author | Lee, HJ | - |
dc.contributor.author | Lee, JY | - |
dc.contributor.author | Choi, YJ | - |
dc.contributor.author | Korean Neuro-Ophthalmology Society | - |
dc.date.accessioned | 2023-05-04T06:41:42Z | - |
dc.date.available | 2023-05-04T06:41:42Z | - |
dc.date.issued | 2023 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | http://repository.ajou.ac.kr/handle/201003/25303 | - |
dc.description.abstract | Background: To report the clinical manifestations of non-arteritic anterior ischemic optic neuropathy (NAION) cases after coronavirus disease 2019 (COVID-19) vaccination in Korea. Methods: This multicenter retrospective study included patients diagnosed with NAION within 42 days of COVID-19 vaccination. We collected data on vaccinations, demographic features, presence of vascular risk factors, ocular findings, and visual outcomes of patients with NAION. Results: The study included 16 eyes of 14 patients (6 men, 8 women) with a mean age of 63.5 ± 9.1 (range, 43–77) years. The most common underlying disease was hypertension, accounting for 28.6% of patients with NAION. Seven patients (50.0%) had no vascular risk factors for NAION. The mean time from vaccination to onset was 13.8 ± 14.2 (range, 1–41) days. All 16 eyes had disc swelling at initial presentation, and 3 of them (18.8%) had peripapillary intraretinal and/or subretinal fluid with severe disc swelling. Peripapillary hemorrhage was found in 50% of the patients, and one (6.3%) patient had peripapillary cotton-wool spots. In eight fellow eyes for which we were able to review the fundus photographs, the horizontal cup/disc ratio was less than 0.25 in four eyes (50.0%). The mean visual acuity was logMAR 0.6 ± 0.7 at the initial presentation and logMAR 0.7 ± 0.8 at the final visit. Conclusion: Only 64% of patients with NAION after COVID-19 vaccination have known vascular and ocular risk factors relevant to ischemic optic neuropathy. This suggests that COVID-19 vaccination may increase the risk of NAION. However, overall clinical features and visual outcomes of the NAION patients after COVID-19 vaccination were similar to those of typical NAION. | - |
dc.language.iso | en | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | COVID-19 | - |
dc.subject.MESH | COVID-19 Vaccines | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Optic Neuropathy, Ischemic | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Tomography, Optical Coherence | - |
dc.title | Non-Arteritic Ischemic Optic Neuropathy Following COVID-19 Vaccination in Korea: A Case Series | - |
dc.type | Article | - |
dc.identifier.pmid | 36974402 | - |
dc.identifier.url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10042731 | - |
dc.subject.keyword | Coronavirus Disease 2019 (COVID-19) | - |
dc.subject.keyword | Non-Arteritic Anterior Ischemic Optic Neuropathy | - |
dc.subject.keyword | Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) | - |
dc.subject.keyword | Vaccination | - |
dc.contributor.affiliatedAuthor | Chung, SA | - |
dc.type.local | Journal Papers | - |
dc.identifier.doi | 10.3346/JKMS.2023.38.E95 | - |
dc.citation.title | Journal of Korean medical science | - |
dc.citation.volume | 38 | - |
dc.citation.number | 12 | - |
dc.citation.date | 2023 | - |
dc.citation.startPage | e95 | - |
dc.citation.endPage | e95 | - |
dc.identifier.bibliographicCitation | Journal of Korean medical science, 38(12). : e95-e95, 2023 | - |
dc.identifier.eissn | 1598-6357 | - |
dc.relation.journalid | J010118934 | - |
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