Introduction
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly contagious enveloped RNA virus that caused a global pandemic in December 2019. Although Coronavirus Disease 2019 (COVID- 19) was primarily found to affect the respiratory and gastrointestinal system further studies revealed the multiorgan organ invasion of the virus1. Although the spectrum of ocular manifestations is not completely defined several reports from anterior segment involvement such as conjunctival hyperemia, chemosis, increased secretions, anterior uveitis to retinitis, choroiditis, and optic neuropathy are available2,3. The SARS -CoV-2 infection may be asymptomatic or paucisymptomatic with mild to moderate presentation of disease and some individuals may present severe to critical disease. Therefore, ophthalmologists may encounter asymptomatic or paucisymptomatic individuals who presented ophthalmic manifestation of COVID-19 infection.
Herein, we present a case of a 57-year-old male with bilateral non-arteritic anterior ischemic optic neuropathy (NAION) and secondary angle-closure glaucoma (SACG) due to choroidal hyperemia in a patient with confirmed SARS-Cov2 infection.