engleski

Peripheral facial paralysis and unilateral anterior uveitis associated with COVID-19 infection: a case report

Introduction: Peripheral facial paralysis is a neurological disorder that causes paralysis or weakness on one side of the face. Anterior uveitis is an inflammation of the middle of the eye which, if left untreated, can lead to glaucoma, cataract or retinal edema, and may cause permanent loss of vision. The aim of this case report is to highlight potential post-COVID-19 complications. Case report: We present the case of a 44-year-old male who was admitted to the Neurological Emergency Department with symptoms of right-sided facial paralysis, headache and lagophthalmos. He had tested positive for COVID-19 three weeks prior to his admission. Electromyography and blink reflex tests revealed a lesion of the right facial nerve. A biomicroscopic examination of the right eye showed mild conjunctival redness, an unstable tear film, and punctiform defects in the lower third of the corneal epithelium. Multiple keratic and pigmented precipitates were distributed over the central part of the cornea as well. Based on these clinical findings, a diagnosis of anterior uveitis in the right eye was made. The patient was treated with topical dexamethasone 0.1% and tropicamide, as well as intravenous methylprednisolone. A follow-up examination two weeks later showed that corneal epithelium had been repaired, and there were no signs of inflammation in the right eye. Conclusion: Clinicians should be aware of the possibility of post-COVID-19 complications and that proper treatment can significantly reduce these effects. COVID-19 can also impact the facial nerve and ocular structures even after complete recovery has been achieved.

anterior uveitis ; COVID-19 ; peripheral facial paralysis

nije evidentirano