Data on the subjective symptoms, sex, age, medical history, visual acuity (VA) in decimal notation, alternate prism cover test (PCT), extraocular muscle movement (EOM) limitation, and Hess screen test were collected for all patients. The medical records of 10 patients (nine with diplopia and one with decreased visual acuity) who visited our ophthalmology clinic from August 2021 to November 2021 with symptoms that developed after COVID-19 vaccination were reviewed. ConclusionĪs COVID-19 vaccines can cause neuro-ophthalmological diseases, such as ocular motor nerve palsy, patients’ age and underlying diseases should be considered while administering them. Compared with previous studies, this study reported three cases of antiplatelet therapy that was initiated due to the older age of the patients and underlying diseases. The symptoms improved gradually in most patients. One patient presented with decreased visual acuity accompanied by a sudden increase in intraocular pressure and orbital cellulitis in the other eye. ![]() ![]() One patient complained of subjective binocular diplopia but all test results were normal. One patient had third nerve palsy, two had sixth nerve palsy, and five had fourth nerve palsy. This was a retrospective study based on the medical records of 10 patients who visited our ophthalmology clinic in 2021 with symptoms, such as diplopia (nine patients) and decreased visual acuity (one patient), and showed findings, such as ocular motor nerve palsy, after vaccination against COVID-19. Therefore, this study aimed to report neuro-ophthalmological symptoms in patients after COVID-19 vaccination. There have been several studies on inflammatory ophthalmic diseases however, few studies have reported neuro-ophthalmological symptoms, such as diplopia and ocular motor nerve palsy, after coronavirus disease 2019 (COVID-19) vaccination.
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