Dengue related maculopathy and foveolitis.
10.1016/S2221-1691(12)60223-8
- Author:
Jaafar JUANARITA
1
;
Mohd Noor Raja AZMI
;
Yaakub AZHANY
;
Ahmad Tajudin LIZA-SHARMINI
Author Information
1. Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan, Malaysia.
- Publication Type:Case Reports
- Keywords:
Dengue fever;
Foveolitis;
Maculopathy
- MeSH:
Dengue;
complications;
diagnosis;
Female;
Fovea Centralis;
pathology;
Humans;
Macula Lutea;
pathology;
Retinitis;
diagnosis;
etiology;
Vision Tests;
Young Adult
- From:Asian Pacific Journal of Tropical Biomedicine
2012;2(9):755-756
- CountryChina
- Language:English
-
Abstract:
A 24 year-old Malay lady presented with high grade fever, myalgia, generalized rashes, severe headache and was positive for dengue serology test. Her lowest platelet count was 45 × 10(9) cells/L. She complained of sudden onset of painlessness, profound loss of vision bilaterally 7 days after the onset of fever. On examination, her right eye best corrected vision was 6/30 and left eye was 6/120. Her anterior segment examination was unremarkable. Funduscopy revealed there were multiple retinal haemorrhages found at posterior pole of both fundi and elevation at fovea area with subretinal fluid. Systemic examination revealed normal findings except for residual petechial rashes. She was managed conservatively. Her vision improved tremendously after 2 months. The retinal hemorrhages and foveal elevation showed sign of resolving. Ocular manifestations following dengue fever is rare. However, bilateral visual loss can occur if both fovea are involved.
