• Katarzyna Baltaziak, Agata Szpringer, Aleksandra Czarnek-Chudzik, Maksymilian Onyszkiewicz, Mario Damiano Toro, Anna Pankowska, Radoslaw Pietura, Robert Rejdak, and Katarzyna Nowomiejska.
• Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, Poland.
• Medicine (Baltimore). 2021 Nov 5; 100 (44): e27542.

RationaleThis is a case report describing delayed complications of COVID-19 pneumonia, which evolved into the vascular-ischemic complications leading to quadrantanopia and MRI findings consistent with recent ischemic event in the occipital pole of the brain.Patient ConcernsWe report a case of a 46-year-old woman with quadrantanopia due to stroke confirmed with brain MRI, secondary to COVID-19 infection with chronically elevated D-dimers and treated with anticoagulation/antithrombotic modalities. Quadrantanopia was the only symptom recognized by the patient of a stroke localized in the occipital pole of the brain.DiagnosisThe patient was diagnosed with quadrantanopia due to stroke confirmed with brain MRI, secondary to COVID-19 infection.InterventionPatient underwent ophthalmological examination and MRI.OutcomesA thrombotic or ischemic risks in the chronic recovery from COVID-19 should be considered in patients with elevated D-dimers.LessonsAn MRI should be considered as a long term follow up for post-COVID-19 patients reporting ophthalmic or neurologic complains.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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