Bilateral orbital inflammation in a 6-month old with SARS-CoV-2 infection

Christopher R. Dermarkarian, Madhuri Chilakapati, Mohamed Hussein, Patricia Chévez-Barrios, Richard C. Allen

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


A 6-month-old female presented with bilateral periorbital edema for 7 days. Laboratory testing was significant for active SARS-CoV-2 infection. Neuroimaging demonstrated soft tissue changes within the bilateral orbits and enlargement of the bilateral lacrimal glands. Although the patient initially improved with corticosteroid treatment, she later returned with recurrent left periorbital and eyelid edema. Orbital biopsy was performed and demonstrated findings in the lacrimal gland and the adjacent fibroconnective tissues that are similar to those of prior lung specimens seen in SARS-CoV-2 patients. Final diagnosis was bilateral orbital inflammation with features presumed secondary to SARS-CoV-2 infection. To the best of our knowledge, this is one of the first reports to document bilateral orbital inflammation as a sign of SARS-CoV-2 infection in the pediatric population with the associated pathological findings.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalOrbit (London)
Issue number5
Early online dateApr 19 2021
StateE-pub ahead of print - Apr 19 2021


  • Orbital inflammation
  • SARS-CoV-2
  • orbitotomy
  • pediatrics

ASJC Scopus subject areas

  • Ophthalmology


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