Unilateral idiopathic neuroretinitis following Pfizer-BioNTech COVID-19 vaccine: a case report

This case report describes a temporal relationship of unilateral neuroretinitis following the second Pfizer-BioNTech COVID-19 (Pfizer) vaccine. A 16-year-old male mixed ethnicity presented with gradual loss vision and pain on eye movement in his left 12 days after Pfizer His visual acuity was counting fingers at half meter. There optic nerve head swelling macular exudates star-shaped pattern peripapillary foveal subretinal fluid consistent neuroretinitis. serological radiologic investigations were negative for any alternative aetiology. He commenced doxycycline, rifampicin, oral prednisone tapering dose. Four months presentation, improved to 6/24-2; limited by outer retinal layers over fovea. The close proximity vaccine dose poses association plausible causation.