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Case report
Internuclear ophthalmoplegia as a presenting feature in a COVID-19-positive patient
  1. Varshitha Hemanth Vasanthpuram1 and
  2. Akshay Badakere2
  1. 1Ophthalmic Plastic Surgery Services, LV Prasad Eye Institute, Hyderabad, India
  2. 2Child Sight Institute, Jasti V Ramanamma Children's Eye Care Centre, LV Prasad Eye Institute, Hyderabad, India
  1. Correspondence to Dr Akshay Badakere; akshaybadakere{at}gmail.com

Abstract

A 58-year-old man presented with vertical diplopia for 10 days which was sudden in onset. Extraocular movement examination revealed findings suggestive of internuclear ophthalmoplegia. Investigations were suggestive of diabetes mellitus, and reverse transcription-PCR for SARS-CoV-2 was positive. At 3 weeks of follow-up, his diplopia had resolved. Neuro-ophthalmic manifestations in COVID-19 are increasingly being recognised around the world. Ophthalmoplegia due to cranial nerve palsy and cerebrovascular accident in COVID-19 has been reported. We report a case of internuclear ophthalmoplegia in a patient with COVID-19.

  • eye
  • infections
  • drugs: infectious diseases
  • neurology

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-241873

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    Footnotes

    • Correction notice This article has been corrected since it was published Online First. The spelling of author's name is corrected to "Varshitha Hemanth Vasanthpuram".

    • Contributors VHV was involved in the care of the patient, along with expert advice from AB. VHV wrote the first draft and collected the images. AB helped refine the draft and was involved in responding to reviewer comments.

    • Funding The case report was funded by Hyderabad Eye Research Foundation.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.