Ocular and Neuro-ophthalmic Manifestations Post COVID-19 Infection

  • Bipin Bista B.P. Koirala Lions Center for Ophthalmic Studies, IOM, TUTH, Nepal
  • Reena Yadav Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
  • Sharad Gupta Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
  • Sandip Sanyam Das Sagarmatha Choudhary Eye Hospital, Lahan, Nepal
  • Ashik Rajak Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal
  • Rajesh Acharya College of Medical Sciences, Chitwan, Nepal
  • Rasik Neupane St. Elizabeth Youngstown Hospital/NEOMED, Ohio, United States of America
  • Padam Raj Bista National Medical College, Birgunj, Nepal


A 39-year-old male with a history of COVID-19 infection presented with ocular manifestations: dendritic ulcer in the left eye cornea followed by diplopia in the same eye. Extraocular motility was restricted in the levo-lateral gaze with maximum diplopia measuring 25∆ exotropia. Slit lamp biomicroscopy showed dendritic patterned lesion with diffused superficial punctate keratitis in the cornea. There are various reports associated with COVID-19 and the neuro-ophthalmic system. Although the clinicopathological aspect of COVID-19 and the neurological system is still to explicate. However, the patient showed gradual improvement with topical and systemic antiviral therapy and orthoptic exercise. This points to the need for detailed neurological and ophthalmic workup in symptomatic COVID-19 patients. Taking the risk of viral spread into serious consideration, a thorough evaluation is though mandatory.
Keywords: COVID-19; dendritic ulcer; lateral rectus palsy; superficial punctate keratopathy

How to Cite
BistaB., YadavR., GuptaS., DasS. S., RajakA., AcharyaR., NeupaneR., & BistaP. R. (2023). Ocular and Neuro-ophthalmic Manifestations Post COVID-19 Infection. Journal of Nepal Health Research Council, 21(1), 184-186. https://doi.org/10.33314/jnhrc.v21i1.4190