Dengue maculopathy: case reports
Journal Title: Scholars Journal of Medical Case Reports - Year 2015, Vol 3, Issue 9
Abstract
We report a case series of dengue maculopathy. All two cases were diagnosed to have dengue fever and presented with central scotoma (case 1) and blurring of vision (case 2) around 5 to 7 days after the onset of fever. Fundus examination showed macular haemorrhages (case 1 and case 2), cotton wool spot (case 1) and macular edema (case 1 and case 2). Optical coherence tomography revealed macular thickening with intra retinal fluid (case 1) and sub retinal fluid (case 2). Fundus fluorescence angiography showed vasculitis changes at the posterior pole (case 2). All patients showed low platelet count at the time of ocular presentation (cases 1: 67 x 103/ul, case 2: 68 x 103/ul). Case 2 showed improvement of vision after administration of systemic steroid while there was spontaneous vision recovering in case 1. The improvement of vision is difficult to be determined whether is due to the treatment itself or part of the natural course of the disease. Keywords: dengue eye disease, vasculitis, foveolitis, dengue maculopathy.
Authors and Affiliations
Kwong-Han Kiu, Hanizasurana Hashim, Roslin-Azni Abdul-Aziz, Shelina Oli-Mohamad, Nor-Fariza Ngah, Embong Zunaina
Keywords
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