{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:58:36Z","timestamp":1785257916975,"version":"3.55.0"},"reference-count":11,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Ophthalmol"],"abstract":"<jats:p>Introduction: Influenza A can cause extrapulmonary complications, including ocular manifestations. We present a rare case of extensive bilateral retinal ischemia in a pediatric patient following influenza A infection, involving acute macular neuroretinopathy (AMN), paracentral acute middle maculopathy (PAMM), and cotton-wool spots. Case Presentation: A 10-year-old boy presented with bilateral blurry vision 4 days after confirmed influenza A infection. Ophthalmologic evaluation revealed best-corrected visual acuity (BCVA) of 20\/150 OD and 20\/125 OS, with optical coherence tomography (OCT) demonstrating hyperreflective bands in the inner nuclear layer, outer plexiform layer, and outer nuclear layer, consistent with simultaneous AMN and PAMM. Cotton-wool spots were also present. The patient was treated with intravenous methylprednisolone, followed by oral prednisolone. BCVA improved to 20\/20 in both eyes at 10 months, with complete resolution of OCT findings. Conclusion: This case highlights the importance of early ophthalmologic assessment in children with visual symptoms following viral infections and suggests a potential role for corticosteroid treatment in severe post-viral retinal ischemia. Further studies are needed to clarify the efficacy of corticosteroids in such cases.<\/jats:p>","DOI":"10.1159\/000552471","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T16:01:00Z","timestamp":1781280060000},"page":"723-727","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral Retinal Ischemia in a Child with Influenza A: A Case Report"],"prefix":"10.1159","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1365-4321","authenticated-orcid":false,"given":"Andreas G.","family":"Nilsson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elin","family":"Gunnlaugsdottir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna Maria","family":"\u00d6hnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines13090950"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3928\/23258160-20200501-08"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0000000000004095"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12348-021-00263-1"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.preteyeres.2023.101235"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/iae.0b013e31823f9afa"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2021.07.030"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000045"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2023.1302504"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.preteyeres.2020.100884"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/s0039-6257(02)00398-3"}],"container-title":["Case Reports in Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000552471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:00:51Z","timestamp":1785254451000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000552471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,12]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000552471","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.32646162","asserted-by":"subject"}]},"ISSN":["1663-2699"],"issn-type":[{"value":"1663-2699","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,12]]}}}