Acute onset ocular myasthenia gravis after vaccination with the Oxford-AstraZeneca COVID-19 vaccine

Orbit. 2023 Dec;42(6):630-634. doi: 10.1080/01676830.2022.2062777. Epub 2022 May 2.

Abstract

Myasthenia gravis (MG) is an autoimmune disease that results in muscle weakness and fatigability. Extraocular involvement may be the first sign of disease. It may be triggered by infections, stress, or medications. We describe a first reported case of ocular MG induced by the viral vector Oxford-AstraZeneca coronavirus disease (COVID-19) vaccine, detail the pathophysiology of vaccine-induced MG, and explore the impact of COVID-19 on MG patients.

Keywords: COVID-19; Oxford-AstraZeneca; ocular myasthenia gravis; vaccination.

MeSH terms

  • COVID-19 Vaccines* / adverse effects
  • COVID-19*
  • ChAdOx1 nCoV-19
  • Humans
  • Myasthenia Gravis* / diagnosis
  • Vaccination

Substances

  • ChAdOx1 nCoV-19
  • COVID-19 Vaccines