PMID- 33154692 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 1179-2744 (Print) IS - 1179-2744 (Electronic) IS - 1179-2744 (Linking) VI - 12 DP - 2020 TI - A Review of Neuro-Ophthalmological Manifestations of Human Coronavirus Infection. PG - 129-137 LID - 10.2147/EB.S268828 [doi] AB - INTRODUCTION: Human coronavirus (HCoVs) are a group of viruses with recognized neurotropic and neuroinvasive capabilities. The reports on the neurological and ocular findings are increasing day after day and several central and peripheral neurological manifestations are already described. However, none specifically describes the neuro-ophthalmological manifestation of HCoVs. This is the first article specifically reviewing neuro-ophthalmological manifestations of HCoVs infection. METHODS: PubMed and Google Scholar databases were searched using the keywords: coronaviridae, coronavirus, COVID-19, SARS-CoV-2, SARS-CoV-1, MERS, ocular, ophthalmology, ophthalmological, neuro-ophthalmology, neurological, manifestations. A manual search through the reference lists of relevant articles was also performed. There were no restrictions concerning language or study type and publications not yet printed but available online were considered. RESULTS: Coronavirus eye involvement is not frequent and includes mostly a typical viral follicular conjunctivitis. Recently, retinal anatomical alterations were described using optic coherence tomography. Neuro-ophthalmological symptoms and signs can appear isolated or associated with neurological syndromes. The manifestations include headache, ocular pain, visual impairment, diplopia, and cranial nerve palsies secondary to Miller Fisher syndrome, Guillain-Barre syndrome, or encephalitis, and nystagmus. CONCLUSION: Neurological and neuro-ophthalmological syndromes, symptoms, and signs should not be neglected and a complete ophthalmological examination of these patients should be performed to fully describe ocular manifestations related to HCoVs. We believe that major ocular and neuro-ophthalmological manifestations reports lack due to safety issues concerning detailed ophthalmological examination; on the other hand, in a large number of cases, the presence of life-threatening coronavirus disease hinders ocular examination and ophthalmologist's visit to the intensive care unit. CI - (c) 2020 Luis et al. FAU - Luis, Maria Elisa AU - Luis ME AUID- ORCID: 0000-0002-9361-089X AD - Ophthalmology Department, Centro Hospitalar Universitario de Lisboa Central, Lisbon, Portugal. FAU - Hipolito-Fernandes, Diogo AU - Hipolito-Fernandes D AD - Ophthalmology Department, Centro Hospitalar Universitario de Lisboa Central, Lisbon, Portugal. FAU - Mota, Catarina AU - Mota C AD - Ophthalmology Department, Centro Hospitalar Universitario de Lisboa Central, Lisbon, Portugal. FAU - Maleita, Diogo AU - Maleita D AD - Ophthalmology Department, Centro Hospitalar Universitario de Lisboa Central, Lisbon, Portugal. FAU - Xavier, Catarina AU - Xavier C AD - Ophthalmology Department, Centro Hospitalar Universitario de Lisboa Central, Lisbon, Portugal. FAU - Maio, Tiago AU - Maio T AD - Ophthalmology Department, Hospital Pedro Hispano, Matosinhos, Portugal. FAU - Cunha, Joao Paulo AU - Cunha JP AD - Ophthalmology Department, Hospital CUF Cascais, Lisbon, Portugal. AD - Escola Superior de Tecnologia da Saude de Lisboa do Instituto Politecnico de Lisboa, Lisbon, Portugal. FAU - Tavares Ferreira, Joana AU - Tavares Ferreira J AUID- ORCID: 0000-0002-2237-3962 AD - Ophthalmology Department, Hospital CUF Cascais, Lisbon, Portugal. AD - Escola Superior de Tecnologia da Saude de Lisboa do Instituto Politecnico de Lisboa, Lisbon, Portugal. AD - Neuro-Ophthalmology Department, Centro Hospitalar Universitario de Lisboa Norte, Lisbon, Portugal. AD - Centro de Estudos das Ciencias da Visao, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal. LA - eng PT - Journal Article PT - Review DEP - 20201030 PL - New Zealand TA - Eye Brain JT - Eye and brain JID - 101587774 PMC - PMC7608548 OTO - NOTNLM OT - human coronavirus OT - manifestations OT - neuro-ophthalmological OT - neurotropic OT - ophthalmology COIS- There are no financial conflicts of interest to disclose. The authors report no conflicts of interest for this work. EDAT- 2020/11/07 06:00 MHDA- 2020/11/07 06:01 PMCR- 2020/10/30 CRDT- 2020/11/06 05:59 PHST- 2020/06/22 00:00 [received] PHST- 2020/09/05 00:00 [accepted] PHST- 2020/11/06 05:59 [entrez] PHST- 2020/11/07 06:00 [pubmed] PHST- 2020/11/07 06:01 [medline] PHST- 2020/10/30 00:00 [pmc-release] AID - 268828 [pii] AID - 10.2147/EB.S268828 [doi] PST - epublish SO - Eye Brain. 2020 Oct 30;12:129-137. doi: 10.2147/EB.S268828. eCollection 2020.