The COVID-19 Vaccine: Will It Affect Your Vision?
COVID vaccines and vision
Fear of side effects (including vision problems) is the primary reason many people remain hesitant to be vaccinated against the virus that causes COVID-19. However, there's no evidence that any of the available COVID-19 vaccines cause widespread vision-related side effects.
It’s worth noting, though, that at least one isolated incident of an eye-related side effect has been reported — a health care worker in the United States experienced eye puffiness after getting a COVID-19 shot. Local safety organizations are investigating this among other rare allergic reactions to the coronavirus vaccine produced by Pfizer and BioNTech.
Other side effects caused by the Pfizer/BioNTech vaccine are “mostly mild to moderate,” according to a report published by the World Health Organization (WHO).
When side effects occurred among participants, the most common reactions were:
Injection-site symptoms, including pain, swelling, and redness.
Systemic symptoms such as fatigue, muscle pain, chills, joint pain, and fever.
Other symptoms such as headache and nausea.
A WHO report on the Moderna COVID-19 vaccine reported similar side effects.
Eye care professionals respond to COVID-19
Those and other side effects aren’t stopping eye care professionals in the U.S. from rolling up their sleeves to receive COVID-19 shots or to even administer the vaccinations.
In a Dec. 2, 2020, letter to the head of the U.S. Department of Health and Human Services, Dr. William Reynolds, president of the American Optometric Association, wrote that the organization’s members “stand ready to assist the public and aid the nation’s health care community in the response to the COVID-19 outbreak.”
Ophthalmologists in the U.S. also are engaged in the fight against COVID-19.
Dr. William Culbertson, professor of ophthalmology at the Bascom Palmer Eye Institute in Miami, told Ophthalmology Times that ophthalmologists and staff at the institute started receiving vaccinations Dec. 15, 2020.
“Although we are not frontline health care providers, we all see patients face to face at the slit lamp and in surgery, so we have all been at substantial risk until we get vaccinated,” Culbertson said.
In addition, at least one ophthalmologist — Dr. Jorge Arroyo of Boston’s Beth Israel Deaconess Medical Center — participated in the trial of the Moderna vaccine for COVID-19.
It was a 34-year-old Chinese ophthalmologist, Li Wenliang, who was among the first to warn the world about the coronavirus outbreak in late December 2019. Dr. Li died of complications from the disease only a few weeks later.
COVID eye problems in children
While COVID-19 vaccines haven’t been tied to serious vision issues, researchers have detected eye problems in a number of children with the disease itself.
One study showed nearly one-fourth of children treated for COVID-19 at a Chinese hospital in early 2020 had mild eye problems. Those problems included:
But the study was limited. Researchers reviewed the conditions of only 216 pediatric patients.
There is no evidence to date of eye problems in children from COVID vaccines.
SEE RELATED: Eye Problems That Could Be Related to COVID
Eye problems connected to other vaccines
While the COVID-19 vaccines have, so far, not caused worrisome side effects related to vision, vaccines for several other conditions have been linked to eye and vision problems. Here’s a rundown of those issues:
Seasonal flu vaccine
In rare cases, some patients who’ve received the flu vaccine experienced mild symptoms like eye redness, eye pain and blurred vision.
Common side effects of the flu vaccine include:
Soreness, redness or swelling at the injection spot
Measles-mumps-rubella (MMR) vaccine
Some research has shown that optic neuritis is a rare complication from the vaccine for the measles-rubella (MR) vaccine. Optic neuritis is inflammation affecting the optic nerve that sends signals from the back of the eye to the brain.
Common side effects of the MMR vaccine include:
Swollen cheek or neck gland
Temporary joint pain (mostly in teenage and adult females)
Rare side effects include short-term seizures and low platelet count. In extremely rare cases, the MMR vaccine can cause deafness, long-term seizures, coma or brain damage.
Chickenpox and shingles vaccines
One study found rare instances of corneal inflammation in children (chickenpox) and adults (shingles) after they received the zoster virus vaccine for both conditions.
Common side effects from the chickenpox vaccine include:
Soreness and a mild rash at the injection spot
Temporary joint pain and stiffness
For the shingles vaccine, common side effects are:
Soreness, redness and swelling at the injection site
Stomach pain and nausea
Measles can cause eye problems
Around the world, measles causes as many as 60,000 cases of blindness each year, according to the American Academy of Ophthalmology (AAO). Other potential vision issues associated with measles include:
Red and watery eyes triggered by pink eye (conjunctivitis)
Keratitis and scarring of the cornea
The measles vaccine is the best option for preventing the disease and, therefore, preventing measles-related vision problems.
SEE RELATED: 5 Ways Measles Can Affect Eyesight
Shingles vaccine can prevent vision problems
The AAO recommends that people 50 and over get the shingles vaccine to prevent an “extremely painful and disfiguring complication” called herpes zoster ophthalmicus, which can cause blindness.
If the shingles virus infects the nerves of the eye, the AAO says it can lead to:
Conjunctivitis (pink eye)
Corneal infection and inflammation
Pain and swelling inside the eye
Swelling of the optic nerve behind the eye
Corneal breakdown requiring a cornea transplant
SEE RELATED: Shingles in the Eye (Ocular Shingles)
The bottom line
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. Experts say the benefits of being vaccinated against COVID-19 outweigh the potential side effects.
Page published in January 2021
Page updated in May 2021