LAUSR

C oronavirus Disease 2019 (COVID-19) is a viral condition caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Studies suggest that SARSCoV-2, such as most coronaviruses, is capable of invading the central nervous system to exacerbate or cause neurological disease (1). In addition, the hypercoagulable and inflammatory states seen in COVID-19 are reported to cause multiorgan dysfunction including strokes (2). Given the systemwide complications reported in cases of SARS-CoV-2, there is great interest in the neuro-ophthalmological sequelae of COVID-19. We describe a patient who detected difficulty with reading the right side of words after intensive care unit hospitalization with SARS-CoV-2 and was found to have visual field defects due to ischemic stroke. A 68-year-old woman was referred to the neuroophthalmology clinic because of reported difficulty reading. The patient’s medical history was significant for a 55-day hospitalization with COVID-19 confirmed by polymerase chain reaction and complicated by 30 days on mechanical ventilation. The patient’s chief complaint during outpatient rehabilitation was simply “I am missing parts of words when I am reading.” On examination, the patient demonstrated the ability to write but could not see the right side of words. The best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. Visual fields by confrontation suggested a right inferior homonymous hemianopsia. The funduscopic examination was unremarkable. The patient was cognitively intact and the remainder of the neurologic examination was normal except for mild proximal muscle weakness. The medical history was unrevealing for any risk factors of stroke such as hypertension, diabetes, or smoking but was notable for ulcerative colitis. Ocular history was noncontributory.