diplopia after covid vaccine

He had right eye congestion and blurred vision three weeks after the first dose of the ChAdO1 COVID-19 vaccine. reported a 40-year-old female with a history of relapsing-remittent multiple sclerosis (MS) and developed bilateral blurring of vision that rapidly progressed to blindness two weeks after the first dose of the ChAdO1 COVID-19 vaccine. reported a 27-year-old male who developed headache associated with eye floaters and vomiting 48 h after receiving the first dose of the ChADO1 COVID-19 vaccine. Following treatment, a four-week follow up appointment revealed that the patient was free of diplopia and his eye movements were back to normal. Epidemiology of Ocular Manifestations in Autoimmune Disease. Moreover, mRNA vaccines may trigger endogenous glucocorticoid release to increase serum cortisol levels. reported a 55-year-old previously healthy female who developed conjunctival congestion, retro-orbital pain, and diplopia 10 days after receiving the first dose of ChAdO1 COVID-19 vaccine. They did a blood test for ocular myasthenia gravis which came back negative. and Y.-H.H., who participated in management and interpretation of the data. Acute corneal endothelial graft rejection following COVID-19 vaccination. Bilateral Acute Macular Neuroretinopathy after Vaccination against SARS-CoV-2. Had approximately the same experience as Mike Caprio above. All MRIs were normal and the CT scan. However, evidence has shown that during transcription, alternative splice events might cause the formation of C-terminally truncated, which may lead to formation of soluble spike protein. Reactivation of Vogt-Koyanagi-Harada disease under control for more than 6 years, following anti-SARS-CoV-2 vaccination. Rucker J.C. Oculomotor Disorders. This review was conducted in accordance with the Preferred Reporting Items for a Systematic Review and Meta-Analyses (PRISMA) guidelines [7]. We wish you all the best, Another 83-year-old female underwent DMEK six and three years prior in the right and left eyes, respectively. I have never experienced this before and have not since. There was a 3+ afferent pupillary defect in the right eye. MRI showed thrombotic occlusion of the superior sagittal sinus and the left-hand transverse sinus and sigmoid sinus. CT scan and MRIs were all normal. Common side effects of the flu vaccine include soreness, redness or swelling where the injection is given, along with headache, fever, nausea and muscle aches. https://creativecommons.org/licenses/by/4.0/, https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines, https://jamanetwork.com/journals/jamanetworkopen/pages/instructions-for-authors#SecRatingsofQuality, Reactivation of Vogt-Koyanagi-Harada disease, Optic/chiasm neuritis with longitudinal extensive transverse myelitis. The patients characteristics were reviewed in six articles. The literature states that vaccines on the one hand, and the occurrence of autoimmune after receiving the COVID-19 vaccine, ocular issues involving the reactions (It is the same as in adjuvant-containing vaccines) on ophthalmic uvea, optic nerve, retina, orbit, cornea, and retinal the other hand remains a mystery.14 There are some indications . In our literature review, there were eight patients with vascular thrombosis and related ocular manifestations. Fundoscopy revealed subtle brightening around the fovea. Now, I no longer have the painful eye movements but still have the double vision. conducted a multicenter observational study on the immunogenicity and safety of the BNT162b2 vaccine in adult patients with autoimmune inflammatory rheumatic diseases. Blumenfeld H. Neuroanatomy through Clinical Cases. We screened a total of 305 titles and abstracts for eligibility. He had no previous vision problems. reported a 46-year-old previously healthy female who developed headache, hemianopia to the right, and aphasia 13 days after receiving the ChAdO1 COVID-19 vaccine. Its the end of January and still have double vision. All the best, Which vaccine did you get? I was diagnosed with COVID-19 last October. I have been taking the vitamin for 3 weeks I has already development although there are still times that double vision occurs. I dont know if this helps; however, here is what happened to me. My usual eyesight is better than 20/20. Please see an optometrist who specializes in binocular vision problems. See I., Su J.R., Lale A., Woo E.J., Guh A.Y., Shimabukuro T.T., Streiff M.B., Rao A.K., Wheeler A.P., Beavers S.F., et al. Douxfils J., Favresse J., Dogne J.M., Lecompte T., Susen S., Cordonnier C., Lebreton A., Gosselin R., Sie P., Pernod G., et al. and Y.H.H.) This is really effecting his day to day life. Hoping for the best and in the meantime coping and adjusting. Logunov D.Y., Dolzhikova I.V., Zubkova O.V., Tukhvatulin A.I., Shcheblyakov D.V., Dzharullaeva A.S., Grousova D.M., Erokhova A.S., Kovyrshina A.V., Botikov A.G., et al. Were do you live? Please see your doctor. Privacy Policy, 300 Garden City Plaza #404, Garden City, NY 11530, What To Do When Other Treatments Have Failed, Prescribing Complex Eyeglass Prescriptions, Eye Muscle Strain as the Cause of Dizziness and Headaches, Neurologist and Headache Specialist Philadelphia, PA, Have you ever felt dizzy and anxious when driving or riding in a car? Many doctors will only test b12 levels and, using outdated ranges, will determine a patient is fine when they are, in fact, deficient. Im so stressed of my double vision. Updated Recommendations from the Advisory Committee on Immunization Practices for Use of the Janssen (Johnson & Johnson) COVID-19 Vaccine After Reports of Thrombosis with Thrombocytopenia Syndrome Among Vaccine RecipientsUnited States, April 2021. Crnej et al. Checked my antibody level in mid November and positive for antibodies. What Is It? (VH), a binocular vision dysfunction caused by a misalignment of the eyes. A systemic search was performed on 22 August 2021 through Embase, Medline, and Cochrane Library for publications on ocular manifestations after COVID-19 vaccination. They ran full blood work along with CT with and without contrast, chest X-ray, MRI and an echocardiogram. Comer R.M., Dawson E., Plant G., Acheson J.F., Lee J.P. Fundoscopy of the left eye revealed a delicate teardrop-shaped macular lesion located nasally with respect to the fovea. 2018 Dec;26(4):344-348. I have a patient that exhibiting similar issues. My wife is experiencing this too, COVID positive 1/12 and then 1/23 double vision started and persists if not a little worse. Other possible effects induced by mRNA vaccines include microangiopathy, localized vasculitis, and demyelination, which cause the presence of eyelid purpuric and ecchymotic lesions and abducens nerve palsy [11,30]. The Neuro Visual Center, Same with me. Goyal M., Murthy S.I., Annum S. Bilateral Multifocal Choroiditis following COVID-19 Vaccination. Mudie et al. reported a 79-year-old previously healthy female who had a sudden bilateral loss of vision two days after the second dose of BNT162b2 COVID-19 vaccine. reported a previously healthy 21-year-old female with bilateral paracentral scotomas three days after receiving the first ChAdO1 COVID-19 vaccine [20]. It came and went about 10 times. He was immediately sent to the emergency room. Reco ery seemed fine til this past week end (Jan 23) woke up with odd vision and by nightfall double vision. If so, you could be experiencing one of the many symptoms of. 03 /11 Diabetes . 2007;21:413418. Fowler et al. Your healthcare provider will examine your eyes to check their position, vision, and movement. He returned a negative COVID-19 test. All these factors may contribute to CSCR [21]. The MRI was unremarkable. Still having intermittent diplopia. We agreed with Ng et al. Seventeen days after vaccination, she suddenly lost consciousness, and thrombocytopenia was noted. Quality rating of the studies was ranked according to Quality Rating Scheme for Studies and Other Evidence [8] and Oxford Centre for Evidence-based Medicine for ratings of individual studies [9]. Specializing in the Optometric Treatment of Headaches and Dizziness. Antonelli M, Penfold RS, Merino J, Sudre CH, Molteni E, Berry S, Canas LS, Graham MS, Klaser K, Modat M, Murray B, Kerfoot E, Chen L, Deng J, sterdahl MF, Cheetham NJ, Drew DA, Nguyen LH, Pujol JC, Hu C, Selvachandran S, Polidori L, May A, Wolf J, Chan AT, Hammers A, Duncan EL, Spector TD, Ourselin S, Steves CJ. I am a COVID19 long-hauler and been suffering from a vertical double vision 2-3 month after initial COVID19 diagnosis. I had the first dose of Moderna on 3/17, woke up with double vision 12 days later on 3/29. The mRNA vaccine can also induce antigen-specific cell-and antibody-mediated hypersensitivity reactions and molecular mimicry due to the close resemblance between the vaccine peptide fragments and uveal self-peptides [23,42]. The Embase, Medline and Cochrane Library searches yielded 256, 71 and 14 results respectively, of which 36 studies were excluded because of duplicate articles. Ocular coherence tomography (OCT) demonstrated slight hyperreflectivity of the outer nuclear and plexiform layers and disruption of the ellipsoid zone. Patients characteristics were reviewed in three articles. I live in Honolulu, HI. FOIA Introduction. Department of Ophthalmology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan; moc.liamtoh@90911tnecniv. After full-text evaluation, 18 studies were excluded due to no relevant and 1 study was excluded due to unknown vaccine. Hi Michael Renisi G., Lombardi A., Massimo S., Alessandro I., Bandera A., Gori A. Anterior uveitis onset after bnt162b2 vaccination: Is this just a coincidence? FOIA Characteristics of endothelial corneal transplant rejection following immunisation with SARS-CoV-2 messenger RNA vaccine. It can include wearing an eye patch, eye exercises, specialty glasses, or surgery. COVID-19 vaccines can cause mild side effects after the first or second dose, including: Pain, redness or swelling where the shot was given Fever Fatigue Headache Muscle pain Chills Joint pain Nausea and vomiting Swollen lymph nodes Feeling unwell Most side effects go away in a few days. Theyve been called migraines. Accessibility Hi everyone! Phylactou M., Li J.P.O., Larkin D.F.P. reported a 47-year-old female with a history of iron-deficiency anemia due to adenomyosis and oral contraceptives. Bayas A., Menacher M., Christ M., Behrens L., Rank A., Naumann M. Bilateral superior ophthalmic vein thrombosis, ischaemic stroke, and immune thrombocytopenia after ChAdOx1 nCoV-19 vaccination. The vaccine should slow the spread of COVID-19 around the world. In late 2019, an outbreak due to a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) led to the coronavirus disease 2019 (COVID-19) global pandemic and claimed many lives, especially in patients with comorbidities [].Early reports suggested that individuals with multiple sclerosis (MS) had an increased risk for a worse outcome after contracting COVID-19, based on . Although vaccines against COVID-19 have been developed and approved under emergency use authorization, various adverse events have also been reported after COVID-19 vaccination. The results showed that, among 686 cases, one case developed uveitis several weeks after the first dose of the vaccine and two cases developed uveitis after the second dose of the vaccine [28]. The cases we have seen of double vision have been post COVID19, not after the vaccine. Hope everyone else that experiences this recovers quickly. On April 20th 2020 I had a follow up with ophthalmologist who had indicated that the double vision was getting worse and he wouldve expected it to get better four weeks later. Im Bob Bergens. The doctor asked me to get an eye examination which I got the day after the double vision and my eye sight and eye looked perfectly healthy. When I walk, I often bump into things., When I am in a large department store or crowd, I feel rather uncomfortable and anxious., Ive seen multiple doctors, had a CAT scan and MRI, and all of the doctors say that I am fine. Adenoviral vector vaccines, including ChAdO1chimpanzee adenovirus Y25 and Ad26.COV2.Shuman adenovirus 26, use replication-incompetent adenovirus as a vector to deliver the DNA signal sequence of spike protein [43,44]. Please speak with your doctor. Bethesda, MD 20894, Web Policies There is some evidence that certain COVID-19 vaccines can increase risk factors for stroke. There is one caveat, however. Over the next few days, his diplopia improved but did not fully resolve. As of July 31, 2022, there have been over 570 million confirmed cases of COVID-19 and over 6 million deaths worldwide[1]. reported that a 59-year-old previously healthy female had acute horizontal diplopia two days after receiving the BNT162b2 COVID-19 vaccine. Massage and neck adjustments seem to help, but only for a short while., Lately, Ive been getting more and more bouts of lightheadedness and dizziness. In our literature review, there were six patients with eyelid manifestations. They called it 6th nerve palsy. Great information that people got prism lenses I will ask about these as Im currently using an eye patch. the contents by NLM or the National Institutes of Health. Helmchen et al. Ann Clin Lab Sci. I was taken to the ER and had a CT scan and an MRI. Bhatti M. 20222023 Basic and Clinical Science Course, Section 05: Neuro-Ophthalmology. Met with PCP two days later, sent me to the hospital for an emergency CT scan which was clear of stroke or any major event. Currently, EMA has approved four vaccines that are protective against SARS-CoV-2 [1,2]. reported that a 44-year-old female and a 63-year-old male had purpuric lesions on the upper eyelids occurring 2125 days after vaccination with the second dose of BNT162b2 COVID-19 vaccine. 2023 Jan 5;23(1):11. doi: 10.1186/s12886-022-02747-7. 6th nerve palsy happens in the population. I was told my doctor that it may heal on its own it about 3 months. The TTS can cause thrombus formation in arteries or veins, which might lead to CVST and SOV thrombosis. This has also happened to me. vertical double vision in my right eye, and have since gotten glasses with prisms to help correct. Im following up with my primary care provider to investigate other possible causes, but in the meantime, Im not inclined to get the 2nd shot. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Dear Dr. Israeloff I have not had Covid I did, however, get the vaccine for Covid on April 11; I woke up May 1 with double vision. They ran cat scans and MRIs that came back unremarkabale. The accompanying symptoms were hyperemic conjunctivitis of the left eye and a vesicular rash at the left forehead [12]. Thankfully, the patients other neurological symptoms have decreased significantly. Similarly, antibodies against spike proteins and activated Th1 cells can cross-react with proteins and antigens in the outer retinal layers, retinal pigment epithelial cells, and large arteries, which may induce AZOOR and AAION [26]. reported that a 40-year-old female taking infliximab for VKH disease for six years had reactivation six weeks after the second dose of BNT162b2 COVID-19 vaccine. 8600 Rockville Pike I will try Vit. Suresh P., Petchey W. ChAdOx1 nCOV-19 vaccine-induced immune thrombotic thrombocytopenia and cerebral venous sinus thrombosis (CVST). He developed blurred vision in the right eye 14 days after vaccination. Neurol. Hi Kalvin, The coronavirus disease 2019 (COVID-19) pandemic has had profound and lasting consequences since 2019. Supported by Grants Ministry of Science and Technology 110-2628-B-006-018. Wolf et al. While various vaccines can cause, mostly mild, side effects connected to vision, there's no scientific evidence that COVID-19 vaccines trigger eye-related side effects. Diplopia is defined as seeing two images of a single object when you're looking at it. The FDA has approved the Pfizer-BioNTech COVID-19 vaccine, now called Comirnaty, to prevent COVID-19 in people age 12 and older. reported a 22-year-old female with myopia but had no ocular trauma or any major past medical history. Vaccine side effects are normal and show that your body is learning to fight the virus and build up immunity. Two months later my vision has improved significantly, but it is not fully back to normal in left gaze. reported that two out of 1736 participants had eyelid swelling and severe allergic reaction on the day of vaccination with BNT162b2 COVID-19 vaccine [10]. I am also experiencing some vision issues in my left eye right after I got my 1st dose of the Moderna vaccine. My husband experiencing exactly this, 10 days exactly after moderna 2nd shot. In our literature review, there were seven patients with uveal manifestations. Although the mechanism of TTS is not clear, the clinical course and laboratory test results of TTS are similar to autoimmune heparin-induced thrombocytopenia which is triggered by the formation of PF4 antibodies [37,47]. Blood pressure was sky high over 200 but later returned to around the 160 level. Dr. We examined 380 patients with diplopia admitted to the Department of Ophthalmology of the University Hospital Centre Sestre milosrdnice in Zagreb, Croatia, from July 2020 to June 2022. I visited with an Ophthalmologist the next morning. Ravichandran S., Natarajan R. Corneal graft rejection after COVID-19 vaccination. The site is secure. According to our reviewed cases, the disease can present as headache with blurred vision, limited ocular motility, diplopia, strabismus, hemianopia, or papilledema [33,34,35,36,37,38]. Papilledema, left visual extinction, and right gaze deviation were noted. About 4-5 days after the first dose of the Moderna vaccine I had a sudden onset of vertical double vision.When it first started, I would have painful eye movements. Lundstrom K., Barh D., Uhal B.D., Takayama K., Aljabali A.A.A., Abd El-Aziz T.M., Lal A., Redwan E.M., Adadi P., Chauhan G., et al. Semin. Went to optometrist the next day, diagnosed with partial 6th nerve palsy. I will go nowhere near the booster. The intensity varies too. Immunogenicity and safety of the BNT162b2 mRNA COVID-19 vaccine in adult patients with autoimmune inflammatory rheumatic diseases and in the general population: A multicentre study. Laboratory investigations revealed elevated D-dimer levels, low platelet counts, and fibrinogen levels. COVID-19; diplopia; risk; vaccine. Ocular Adverse Events After COVID-19 Vaccination. were involved in design and conduct of study. On the other hand, Bayas et al. [(accessed on 21 September 2021)]. COVID-19 Recombinant mRNA Vaccines and Serious Ocular Inflammatory Side Effects: Real or Coincidence? PRISMA flow diagram of the articles analyzed. We have not heard of a link between the vaccine and double vision. As of today, it has shown no improvement. government site. Now they are testing for myasenia gravis because they seem to be grasping by at straws and not wanting to admit that the vaccine caused this side effect. My neurologist gave me vitamin b 12 because according to him I got a low vitamin b 12 after covid. On examination, right esotropia of 25 diopters in primary gaze, 30 diopters in the right gaze, 10 diopters in the left gaze, and a severe abduction limitation of the right eye were noted. Mercado N.B., Zahn R., Wegmann F., Loos C., Chandrashekar A., Yu J., Liu J., Peter L., McMahan K., Tostanoski L.H., et al. We also searched the references of the included studies for more relevant articles. Thanks. I woke up one morning with severe double vision that only improved if I covered one eye. reported a 62-year-old male with a history of PKP for a corneal scar in his right eye for two years. I have not heard that it has been associated with the vaccine. However, she was also diagnosed with asymptomatic COVID-19 shortly after the onset of ocular symptoms [24]. HHS Vulnerability Disclosure, Help Is your double vision go away yet? She developed vision loss in her right eye 15 days after the second dose of the mRNA-1273 COVID-19 vaccine. reported a 27-year-old female who took oral contraceptives and developed an acute paracentral scotoma after receiving the first dose of the ChAdO1 COVID-19 vaccine [18]. Kadali R.A.K., Janagama R., Peruru S., Malayala S.V. He also developed light confusion, asthenia, and profound nausea [39]. My mother is now experiencing double vision about 30 days after her second Pfizer vaccine show. A bilateral AZOOR was diagnosed [26]. Khodadousts rejection line in the center of the endothelium with graft edema and anterior chamber (AC) reaction was noted. When I see double vision and feel fatigue, I sometimes take a nap if I am home and it disappears for a while after I wake up recharged. Within 10 min of receiving the Moderna vaccine I had a strange taste in my mouth through the right side of my mouth and nose and experienced blurred vision for two days. Single-shot Ad26 vaccine protects against SARS-CoV-2 in rhesus macaques. Department of Ophthalmology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan; Received 2021 Sep 28; Accepted 2021 Nov 25. In early August, the patient started to experience double vision. Maleki A., Look-Why S., Manhapra A., Foster C.S. JAMA Network OpenInstructions for Authors: Ratings of the Quality of the Vidence. It returned to normal 10-15 minutes later. My husband had the moderna shot on a Monday and by Wednesday he was in the ER with double vision. Its been about 10-15 days but this seems to not go away and been there a few times during the day. We report 2 patients who were diagnosed with COVID-19 after presenting with diplopia and ophthalmoparesis. Laboratory investigations showed thrombocytopenia, raised D-dimer, and she was positive for PF4 antibodies. Your child cannot get COVID-19 from any COVID-19 vaccine. Please enable it to take advantage of the complete set of features! The mean duration between COVID-19 vaccination and onset of uveitis symptoms was 15.2 (range 342) days. Repeat CT showed right parietal lobe hemorrhage [35]. All the best. I saw my optometrist the next morning and she diagnosed me with Cranial nerve 6 palsy affecting the left lateral rectus muscle. You should seek out someone near you who has experience working with prism. Prismatic aligning lenses were prescribed to resolve the double vision. I have become an anti-vaxxer of the first order when it comes to the Pfizer Covid vaccine. She is the only practitioner in the state of New York trained by Dr. Debby Feinberg of Vision Specialists of Michigan. How is diplopia diagnosed? My symptoms were mild and cleared within a few days of being told that I had been exposed (November 11th). [ 1] The term diplopia is derived from two Greek words: diplous, meaning double, and ops, meaning eye. This review was undertaken to help clinicians recognize the possible manifestations and systemic pathogenesis, especially those related to the eye, after receiving COVID-19 vaccination. A day or two later i developed Now, 23 days later, I still have severe double vision and taking a muscle strengthen for ptosis which is only sort of helping. In rare cases, some patients who've received the flu vaccine experienced mild symptoms like eye redness, eye pain and blurred vision. Besides horizontal dipola extreme fatigue and a generalized weakness, perplexed how else to support her. 1. The Pfizer, Moderna, and Novavax vaccines have been shown to be at least . Hope the information helps anyone looking for answers. Post-vaccination diplopia was equally common in patients who received vector-based or RNA-based vaccines (21.4 vs. 16.7%; p = 0.694). Each case is different so we cant comment on individual cases. The fever and aches went away within 2 days. Left eye posterior synechiae, AC cells, and KPs were noted. Limitations. All four doctors I talked to seemed very reluctant to link the symptom back to the Covid vaccine. I saw opthalmologist and eye exam normal except for my vision but my symptoms are still present and sometimes very debilitating. IgG-ELISA for PF4-heparin complex antibodies, measured two months after the event, were negative [36]. Acute-onset central serous retinopathy after immunization with COVID-19 mRNA vaccine. It comes and goes throughout the day and its more noticeable when I am tired and have brainfog. While it can take up to 10-14 years for a vaccine to be developed [], many COVID-19 vaccines have emerged in this atypical period of high-speed clinical development.However, the expected vaccine outcome might overshadow the possible risks [2, 3].The approval of COVID-19 vaccines is a major step in . COVID-19 testing should be performed for all cases of otherwise unexplained diplopia. Unable to load your collection due to an error, Unable to load your delegates due to an error. In our literature review, there were 12 patients with ocular manifestations. I got my first shot of pfizer and apon waking up the following morning i am expiencing double vision i never caught the covid but i thoght i better get the vaccine but i wish i didnt because i could see just fine before this now im scared to get the second dose im seeking a dr. Tommorow its been 6 days ongoing with this double vision. My email is bergens06@gmail.com. I dont even wear glasses. IgG-ELISA for the PF4-heparin complex antibody was positive, while CT venogram showed CVST. Neither test showed anything abnormal. The relationship between adenoviral vector vaccines and all of the ocular symptoms mentioned should be further investigated. OCT of the right eye showed serous macular detachment of the neurosensory retina. We are unable to determine if and when diplopia will resolve post COVID. We have had many cases like this. On March 7th 2021 I started to have double vision. On November 16th 2020 I tested positive for COVID-19. I received my 1st shot of the Pfizer vaccine Jan. 26th and 4 days later woke up on a Saturday morning Jan. 30th with severe double vision and rushed to VA Hospital thinking I had a stroke that caused it? The authors have no relevant financial or non-financial interests to disclose. According to the Food and Drug Administration (FDA), monoclonal antibodies are proteins made in a laboratory that mimic your body's immune response. participated in the preparation, review, and approval of the manuscript. Hello. Moreover, 15 cases of TTS were reported in the United States after administration of 7.98 million doses of Ad26.COV2.S COVID-19 vaccination during 2 March21 April 2021 [47]. He had the Oxford vaccine back in February and woke up with double vision in his left eye, facial pain and blinding headaches. Most people fully recover, but in some cases people may be left with weakness, pain, or. In a study investigating symptoms after administration of three types of COVID-19 vaccines (Pfizer, AstraZeneca, and Sinopharm), Al Khames Aga et al. I can give more detail if you write back. and Y.-H.H. However, nine days after COVID-19 diagnosis he developed acute-onset diplopia, asymmetrical bilateral ptosis, dysphonia and dysphagia, with no reported diurnal variation and a progressive . The patient died on the sixth day of hospitalization [38]. Nothing really indicating any abnormalities. The central corneal thickness was 714 m, and corneal endothelial graft rejection was diagnosed. both had diplopia very soon after there j n j and moderna vaccines both were around 10to 14 eso at near /decompensated phorias not 6th n palsy as far as i can tell the man is slowly recovering from diplopia and many other symptoms // can you tell me where i might report these cases.

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