Abstract
Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
is responsible for coronavirus disease 2019 (COVID-19), a multifaceted
condition. The COVID-19 is associated with various ocular manifestations
including conjunctivitis, retinal vein occlusion and optic neuritis. The
case of VKH disease associated with SARS-CoV-2 was rare and the specific
association is still unclear. Case Presentation In the present study, a
35-year-old female patient with no significant medical history presented
with one week of bilateral blurred vision 2 weeks after a clinical
course of COVID-19. Both eyes presented with bullous serous retinal
detachments. She was diagnosed with incomplete Vogt–Koyanagi–Harada
(VKH) disease. Early diagnosis and treatment of VKH disease are
essential for the visual prognosis of this aggressive disease. Ocular
inflammatory signs and visual acuity improved via corticosteroid therapy
in this patient. The case of VKH disease associated with SARS-CoV-2 was
rare and the specific association is still unclear. By reviewing similar
studies previously reported, we discuss and summarize the potential
mechanisms explaining the association between VKH disease and
SARS-CoV-2. Conclusion Although the causality remains unclear,
ophthalmologists and physicians should be aware of this possible
association between VKH disease and COVID-19. SARS-CoV-2 may play a
potential immunological triggering role in VKH disease. However, further
in-depth researches are necessary to investigate the clinical and
epidemiological features, as well as the underlying mechanisms of it.
Keywords: Vogt–Koyanagi–Harada disease; SARS-CoV-2; COVID-19; case
report