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NURUL HIKMAH
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Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Earth & Planetary Sciences Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Journal : Ophthalmologica Indonesiana

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Unilateral Adie’s Tonic Pupil after Coronavirus Disease-19 (COVID-19): A Case Report: Unilateral Adie’s Tonic Pupil after Coronavirus Disease-19 (COVID-19): A Case Report Nurul Hikmah; Mendy Candella
Majalah Oftalmologi Indonesia Vol 48 No 2 (2022): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v48i2.100271

Abstract

Introduction: Adie’s tonic pupil is a neuro ophthalmological disorder characterized by dilated pupil, which is unresponsive to light. It is caused by damage to postganglionic fibers of the parasympathetic innervation of the eye. Recent events of the coronavirus disease 2019 (COVID-19) pandemic had suggested that severe acute respiratory syndrome coronavirus-2 infection (SARS-CoV-2) had neurotropic and neuroinvasive capabilities. Purpose: To report a rare case of unilateral Adie’s tonic pupil after COVID-19. Methods: A single case report study. Case Report: A 31-year-old woman presented with a glare on the right eye 3 months ago. No other symptom was reported. No prior history of using any eye drops and trauma. Further investigation revealed a history of asymptomatic SARS CoV-2 infection. Her best-corrected visual acuity of both eyes was 1.0, but we observed an impairment of accommodation on the right eye. A fixed dilated right pupil, 8 mm in diameter, was observed without any constriction on near reflex. Slit lamp and funduscopy examination were within normal limits on both eyes. Pilocarpine 0.1% test was positive on the right eye. Neurological examinations and brain imaging was within normal limits. The patient was diagnosed with Adie’s tonic pupil. She was treated with pilocarpine 0.1% once daily. After 2 months of follow up, her complaint of glare was diminished but no improvement of near acuity was seen on the right eye. Conclusions: This case report was one of the first few cases of Adie’s tonic pupil possibly associated with COVID-19.
Co-Authors Abdul Wahab Ahmad Akram Ahmad Febrian Rusdiansyah Ahmad Ridwan Ainul Fahmi Ainul Mardhiah Alifia Dhia Abdillah Amalia Sukmawati Amrullah Amrullah Amrullah Anak Agung Ketut Sudharmawan Anggraini Dwi Kurnia Arjudin Arjudin Arpandjaman Arpandjaman Arpandjaman Ary Putra Baskoro Arzaq Maulana Faisal Azman Abdullah Baidowi Baidowi Baidowi Baidowi Cici Indah Setyowati Dasril Aldo David Armansyah Daviq Chairilsyah Devi Risma Dewi Magefira Diah Ayu Lestari Dian Hakip Nurdiansyah Dwi Novitasari Dwipo Setyantoro Eka Kurniawan Eka Putri Juliantari Endang Mahpudin Fadjar Budiman Faisal Amir Fera Riswidautami Herwandar Fradnya Vrianka Praharsini Fradnya Vrianka Praharsini Gusti Ayu Mahayukti Hapipi Hapipi Harry Soepriyanto I Gede Wiriana Jaya I Ketut Sudiana Intan Khosi’urrohmah Junaedi Junaidi Junaidi Ketut Sarjana Khairul Paridi Kristina Natasia Sinurat Laila Hayati Lestari, Indah Maisharah Maisharah Mala Tri Marliana Maskuri Melinta Nurul Islam Mendy Candella Miswar Saputra Moh Roid Fathani Muh Aswar Muh Fathur Rahman R Muhammad Iqbal Zuwandi Muhammad Kurnia Muhammad Sulistiono Muhammad Turmuzi Nanda Saputra Nani Kurniati Nani Kurniati Nourma Pramestie Wulandari Novia Dinda Mariana Nur Lailatul Masruroh Nur Melizza Nur Rahma Akmal Nyoman Sridana Qhazisa Arty Qhalista Rachmatullaily . Rahma Syam Ratna Yulida Regina Yuantika Natalie Rinie Pratiwi Puspitawati Riska Adinanra Rosita Rosita SANGKALA IBSIK Sari yasa Sekar Isnaeni Nurul Saputri Sendy Zul Friandi Sifa Fitria Siti Adniati Siti Hodijah Sri Subarinah Sridana Sridana Sripatmi Sripatmi Sripatmi Sripatmi Sudi Prayitno Sukma Irma Suci sukmawati Sumitra Sardan Syahrul Azmi Syahrul Azmi Tabita Wahyu T TEGUH BATUAH Tubagus Angga Ulfa Lu’luilmaknun Verina Zaneta Via Yustitia Wahidaturrahmi, Wahidaturrahmi Widiami Sayidah Wulandari, Nourma Pramestie Yandika Pratama Saputra Yonathan Ramba Yonathan Ramba Yoyok Bekti Prasetyo Yuan Andinny Yuli Yani Yulis Tyaningsih, Ratna Yunita Septriana Anwar