Dengue related maculopathy and foveolitis

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 fev...

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Bibliographic Details
Published in:Asian Pacific journal of tropical biomedicine 2012-09, Vol.2 (9), p.755-756
Main Authors: Juanarita, Jaafar, Azmi, Mohd Noor Raja, Azhany, Yaakub, Liza-Sharmini, Ahmad Tajudin
Format: Article
Language:English
Subjects:
Case Report
Dengue
Dengue - complications
Dengue - diagnosis
Dengue fever
Female
fever
Fovea Centralis - pathology
Foveolitis
Humans
Macula Lutea - pathology
Maculopathy
Retinitis - diagnosis
Retinitis - etiology
Vision Tests
Young Adult
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Summary: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 was6/120.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 arc involved.
ISSN:2221-1691
2588-9222
DOI:10.1016/S2221-1691(12)60223-8