A Rare Complication of COVID-19 Vaccination: Cyclical Esotropia

The COVID-19 pandemic started in 2019 and was identified to be a deadly viral infection very early. Therefore, several vaccines have been developed worldwide to curb this disease. Since their inception, various complications have been reported with the COVID-19 vaccines, including ocular nerve palsi...

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Bibliographic Details
Main Authors: Smita Kapoor, Nikunj Gupta, Apoorv Grover
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Delhi Journal of Ophthalmology
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Online Access:https://journals.lww.com/10.4103/DLJO.DLJO_21_23
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Summary:The COVID-19 pandemic started in 2019 and was identified to be a deadly viral infection very early. Therefore, several vaccines have been developed worldwide to curb this disease. Since their inception, various complications have been reported with the COVID-19 vaccines, including ocular nerve palsies. Herein, we report the case of a 17-year-old girl who presented with binocular diplopia that presented in 48-h cycles 1 week following the administration of the Covaxin (BBV152) vaccine. She presented with esotropia in the right eye with full extraocular motility. Magnetic resonance imaging brain and blood investigations were normal. Thus, the cyclical esotropia could not be attributed to any other systemic condition. The double vision was corrected by performing medial rectus recession and lateral rectus resection of the right eye which remained stable on 1-year follow-up. To the best of our knowledge, this is the first case of cyclical esotropia following Covaxin vaccination.
ISSN:0972-0200
2454-2784