DR. HEMA V.K

DR. VIRNA SHAH

Abstract

COVID-19 has a vast array of presentations and associations with neuro- ophthalmic diseases. As we are still experiencing the pandemic and its effects and since the complete clinical picture of Covid-19 is not fully understood, we attempt to shed some light on this issue.This is a retrospective case series of ten COVID patients ,who presented with cranial nerve palsies at a tertiary eye care hospital in South India during second wave. An analysis of electronic medical records data was done. Most of the patients (7/10), presented with multiple cranial nerve palsies (MCNP) with poor visual acuity. 2/10 cases succumbed to death due to the intracranial involvement. All MCNP had uncontrolled diabetes as a precursor & neuroimaging of these cases showed sinusitis of varying severity most of which were suggestive of fungal invasive type.We emphasise the need to screen for fungal involvement in COVID -19 cases presenting with MCNP, so that an early diagnosis reduces visual loss and mortality.

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