Manifestations of uveitis of toxoplasmosis etiology after vaccination: clinical cases

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Inflammatory diseases of the retina and choroid (chorioretinitis), including those of toxoplasmosis etiology usually occur against a background of decrease in immunity. We present two clinical cases of ocular inflammation at different times after the vaccination with “Sputnik V”. An analysis of the occurrence of ocular pathologic condition after vaccination to prevent coronavirus infection caused by the SARS-CoV-2 virus will help determine the criteria for prophylactic ophthalmological examination of patients before vaccination.

作者简介

Oksana Ionova

St. Petersburg Research Institute of Phthisiopulmonology

编辑信件的主要联系方式.
Email: glazniif@mail.ru

Cand. Sci. (Med.), Ophthalmologist of the Department of Phthisioophthalmology

俄罗斯联邦, 2–4, Ligovsky st., Saint Petersburg, 197758

Andrey Karetsky

St. Petersburg Research Institute of Phthisiopulmonology

Email: glazniif@mail.ru

Cand. Sci. (Med.), Head of the Department of Phthisiophthalmology

俄罗斯联邦, Saint Petersburg

Valentina Hokkanen

North-Western State Medical University named after I.I. Mechnikov

Email: hokkanen@bk.ru

Dr. Sci. (Med.), Professor, Professor of Ophthalmology Department

俄罗斯联邦, Saint Petersburg

Nataliya Zumbulidze

North-Western State Medical University named after I.I. Mechnikov

Email: guramovna@gmail.com

Cand. Sci. (Med.), Assistant Professor of Ophthalmology Department

俄罗斯联邦, Saint Petersburg

Oksana Bagriantseva

Medical Center “XXI century”

Email: medinfo@mc21.ru

Ophthalmologist

俄罗斯联邦, Saint Petersburg

参考

  1. Avetisov SEh, Egorov EA, Moshetova LK, et al, editors. Oftal’mologiya: natsional’noe rukovodstvo. 2nd edition. Moscow: GEHOTAR-Media, 2008. P. 506–507. (In Russ.)
  2. Kanski DzhDzh, Milevski StA, Damato BEh, Tehnner V. Zabolevaniya glaznogo dna. Avetisov SEh, editor. Moscow: MEDpress-inform, 2009. P. 171–176. (In Russ.)
  3. Nasiri N, Sharifi H, Bazrafshan A, et al. Ocular manifestations of COVID-19: a systematic review and meta-analysis. J Ophthalmic Vis Res. 2021;16(1):103–112. doi: 10.18502/jovr.v16i1.8256
  4. Maychuk DYu, Atlas SN, Loshkareva AO. Ocular manifestations of coronavirus infection COVID-19 (clinical observation). Vestnik Oftalmologii. 2020;136(4):118123. (In Russ.) doi: 10.17116/oftalma2020136041118
  5. Hwang JH. Uveitis after COVID-19 Vaccination. Case Rep Ophthalmol. 2022;13:124–127. doi: 10.1159/000521785
  6. Benage M, Fraunfelder FW. Vaccine-associated uveitis. MO Med. 2016;113:48–52.
  7. Cunningham ET Jr, Moorthy RS, Fraunfelder FW, Zierhut M. Vaccine-associated uveitis. Ocul Immunol Inflamm. 2019;27(4):517–520. doi: 10.1080/09273948.2019.1626188

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2. Fig. 1. Fundus photography of the right eye of a patient. Paracentral focal chorioretinitis in the infiltration stage. Peripheral focal chorioretinitis in the cicatricial stage

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3. Fig. 2. Fundus photography of the right eye of a patient. Рeripheral focal chorioretinitis in the cicatricial stage

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4. Fig. 3. Fundus photography of the left eye of a patient. Peripheral focal chorioretinitis in the cicatricial stage

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5. Fig. 4. OCT of the patient (a, b). The foveolar profile is deformed due to edema of the inner layers of the retina, at the site of the edema there is a violation of perfusion in the choriocapillaris, the choroid has plethoric vessels. Detachment of the posterior hyaloid membrane

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6. Fig. 5. The fundus of the patient M. Paramacular focal chorioretinitis in the stage of remission

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7. Fig. 6. OCT of the patient. The foveolar profile is deformed due to edema and focal lesion in the paramacular zone, neuroepithelial detachment, detachment of the pigment epithelium, detachment of the posterior hyaloid membrane

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