We are so sorry that you are suffering. We have seen a number of cases of persistant double vision after COVID. Did the pt clear covid quickly or delayed? Its 6 months now since the double vision has occurred. Our review identified multiple ocular manifestations following COVID-19 vaccination. reported a 40-year-old female with a history of relapsing-remittent multiple sclerosis (MS) and developed bilateral blurring of vision that rapidly progressed to blindness two weeks after the first dose of the ChAdO1 COVID-19 vaccine. 6th nerve palsy happens in the population. B12 difficiency? [(accessed on 21 September 2021)]. [(accessed on 21 September 2021)]; Sahin U., Muik A., Derhovanessian E., Vogler I., Kranz L.M., Vormehr M., Baum A., Pascal K., Quandt J., Maurus D., et al. Pfizer-BioNTech COVID-19 vaccine. Were do you live? As of July 31, 2022, there have been over 570 million confirmed cases of COVID-19 and over 6 million deaths worldwide[1]. My Ophthalmologist lowered my eye glasses prescription to see if it helps with my double vision but there has been no improvement. Dias et al. Laboratory investigations revealed decreased platelet count and lack of fibrinogen. I finally took cipro about a month ago for a lung infection and the double vision left immediately. and Y.H.H.) Over the next few days, his diplopia improved but did not fully resolve. conducted a case series on herpes zoster following BNT162b2 COVID-19 vaccination in patients with autoimmune inflammatory rheumatic diseases. Theyve been called migraines. The reviewed studies raised our concern for the ocular manifestations after COVID-19 vaccination. Laboratory investigations revealed thrombocytopenia. Therefore, this study aimed to report neuro-ophthalmological symptoms in patients after COVID-19 vaccination. [(accessed on 21 September 2021)]. Before 58-year-old patient with double vision diagnosed with COVID-19 - AOP Patients characteristics were reviewed in three articles. Im worried about getting the second dose and I cant find much information about blurred vision as a side effect of the vaccine. reported a 79-year-old previously healthy female who had a sudden bilateral loss of vision two days after the second dose of BNT162b2 COVID-19 vaccine. Ann Clin Lab Sci. Reyes-Capo et al. Guide to Double Vision (Diplopia): Causes & Best Treatment Options Additionally, the Fact Sheet for Recipients and Caregivers notes that vaccine recipients should seek medical attention right away if they develop any of the following symptoms after receiving the . The cases we have seen of double vision have been post COVID19, not after the vaccine. I started to see a triple vision from my left eye(three of the same letter or numbers stacked on top of each other, one to the top right corner and the other to the right side). Diplopia may be caused by eye problems, eye surgery, or health conditions such as Graves disease or Parkinson disease. The only symptom that lingered was the loss of taste and smell (it took about six weeks for that to clear. The mRNA vaccine can increase free extracellular mRNA, which may increase the permeability of endothelial cells and cause choriocapillaris leakage. Any discrepancies were resolved via discussion until consensus was reached. Computed tomography (CT) angiography showed multiple parenchymal hemorrhage and thrombosis of the left transverse and sigmoid sinuses [33]. doi: 10.1055/s-2007-979682. I went to Urgent Care who thought I may have had a stroke due to the vision issues and ptosis and they recommended emergency eye center at Mount Sinai. The platelet count ranged from 7000 to 113,000 platelets per cubic millimeter, and most cases were positive for PF4-heparin antibodies [48]. Several days following the vaccine I had severe debilitating double vision. While various vaccines can cause, mostly mild, side effects connected to vision, there's no scientific evidence that COVID-19 vaccines trigger eye-related side effects. reported a 22-year-old female and a 28-year-old female who were on long-term oral contraceptives they developed acute onset of paracentral scotoma two days after receiving the ChAdO1 COVID-19 vaccine. This misalignment is typically the result of a head injury, but it can also occur when one eye is physically set a little higher than the other, causing the eyes to see images at slightly different levels. The Pfizer, Moderna, and Novavax vaccines have been shown to be at least . The TTS occurred mostly in middle aged women 524 days after vaccination. I never had COVID. But my test of antibodies still increasing. Post-vaccination diplopia was equally common in patients who received vector-based or RNA-based vaccines (21.4 vs. 16.7%; p = 0.694). Dr. Cheryl Berger Israeloff. Bhavsar K.V., Lin S., Rahimy E., Joseph A., Freund K.B., Sarraf D., Cunningham E.T. reported a 20-year-old female with a history of oral contraceptives and with bilateral flickering scotoma after administration of the ChAdO1 COVID-19 vaccine [19]. Right eye regraft was performed due to late endothelial failure 10 months previously. These soluble spike variants may induce thrombotic events via an antibody-mediated mechanism when binding to ACE2-expressing endothelial cells in blood vessels [41,45]. Diplopia often is the first manifestation of many systemic disorders, especially muscular or neurologic . doi: 10.1038/sj.eye.6702415. I have not heard that it has been associated with the vaccine. Adverse Events following Immunization with COVID-19 Vaccines: A The Neuro Visual Center. Hence those with diabetes or those who have the risk factors for this metabolic disorder are recommended to get their blood glucose . Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Two days after receiving the Pfizer-BioNTech COVID-19 vaccine, a healthy 59-year-old woman presented with acute painless horizontal diplopia in both eyes. I am 28, female. Further testing revealed the patient had COVID-19 and previously undiagnosed diabetes. The following day, she developed left-sided weakness and eye deviation to the right. Abdominal computed tomography (CT) revealed bilateral adrenal hemorrhages and a subcapsular renal hematoma. In a case report on ocular inflammatory side effects after administration of COVID-19 vaccine, Maleki et al. Now, 23 days later, I still have severe double vision and taking a muscle strengthen for ptosis which is only sort of helping. All the best, Reco ery seemed fine til this past week end (Jan 23) woke up with odd vision and by nightfall double vision. COVID-19 vaccine BNT162b1 elicits human antibody and TH1 T cell responses. The vision only got worse and I was diagnosed with diplopia and ptosis by that Friday as I couldnt even see enough to work anymore. Left eye posterior synechiae, AC cells, and KPs were noted. The breakdown according to the mechanism of diplopia showed no substantial difference between the vaccinated patients and the controls. National Library of Medicine In this case, the patients left eye could not fully abduct. Papasavvas I., Herbort C.P. Two days later I had an office visit with another Ophthalmologist who agreed with the diagnosis. Bayas A., Menacher M., Christ M., Behrens L., Rank A., Naumann M. Bilateral superior ophthalmic vein thrombosis, ischaemic stroke, and immune thrombocytopenia after ChAdOx1 nCoV-19 vaccination. These immune reactions play an important role in the formation of uveitis. Thanks. Introduction. The Coronavirus Disease 2019 (COVID-19) pandemic has affected the entire globe. Opthmologist consult r/o CN IV and retina, felt could be VI nerve palsy in different dx. The patients characteristics were reviewed from two articles. reported a 29-year-old previously healthy female with blurring of vision of the left eye nine days after receiving the first dose of the ChAdO1 COVID-19 vaccine.
