2017, Number 3
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Revista Habanera de Ciencias Médicas 2017; 16 (3)
Retinal manifestations after Dengue fever. A case report
Beltrán SRI, Hernández BR, Savón GLM
Language: Spanish
References: 12
Page: 420-426
PDF size: 369.89 Kb.
ABSTRACT
Introduction: Dengue is an acute viral infection, caused by a virus of flaviviridae family that is transmitted by the Aedes Aegypti mosquito sting. Ocular manifestations associated to this illness have been described such as maculopathy, retinal hemorrhages, optic neuritis, retinitis and vasculitis, although they are not frequent.
Objective: To present a case that is not frequently reported in own context.
Case presentation: 58-year-old male patient that suffered from dengue and 1 month after that he began having blurred vision in both eyes. In the ophthalmic examination, it was detected that he had macular hemorrhages and exudates in some quadrants of both eyes. He was
treated with systemic anti-inflammatories for 2 months. There was an improvement of his initial symptoms and the clinical features of the ocular fundus with this treatment.
Conclusions: Dengue is an illness that has not only a systemic impact but also causes ophthalmic damage that we should consider. The clinical manifestations, the retinophoto and the optical coherence tomography (OCT) were considerably useful for the follow-up of the retinal alterations found post-dengue. Steroids were used successfully for the treatment of this case.
REFERENCES
1- Lim WK, Mathur R, Koh A, Yeoh R, Chee SP. Ocular manifestations of Dengue fever. Ophthalmology. 2004; 111(2):2057-2064. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/15522372
2- Chawla P, Yadav A, Chawla V. Clinical implications and treatment of Dengue. Asian Pacific Journal of Tropical Medicine. 2014; 12(2):169-178. Disponible en: http://www.sciencedirect.com/science/article/pii/S199576451460016X
3- Gupta A, Srinivasan R, Setia S, Soundravally R, Pandian DG. Uveitis following Dengue fever. Eye Lond. 2009; 23(1):873-876. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/18464800
4- Cantor LB, Rapuano CJ, Cioffi GA. Intraocular Inflammation and Uveitis. AAO 2014-2015;9 (7):219-220.
5- Maciej, Chlebicki P, Ang B, Barkham T, Laude A. Retinal Hemorrhages in four patients with Dengue Fever. Emerg Infect Dis. May 2005; 11(5): 770–772. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3320366/
6- Haritoglou C, Dotse SD, Rudolph G, Stephan CM, Thurau SR, Klauss V. A tourist with dengue fever and visual loss. Lancet. 2002; 360(02): 45-7. Disponible en: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(02)11145-7/fulltext
7- Umi Kalthum MN, Wong HS. Dengue Fever Presenting as Bilateral Dengue Maculopathy. Med & Health. 2012; 7(1): 57-61. Disponible en: http://journalarticle.ukm.my/6062/
8- Şahan B, Sinan T, Marangoz D, Ciftci F. Fundus Findings in Dengue Fever: A Case Report. Turk J Ophthalmol. 2015; 45(5): 223-225. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5082246/
9- Cherng-Hui Yip V, Sanjay S, Koh YT. Ophthalmic complications of dengue fever: a systematic review. Ophthalmol Ther. 2012; 23(1): 2-3. Disponible en: https://link.springer.com/article/10.1007/s40123-012-0002-z
10- Dinesh P, Prabhu P, Gita S. "A Case of Unusual Manifestation of Dengue Fever". Int J Sci Stud. 2014; 2(3):98-100. Disponible en: http://www.ijss-sn.com/volume-2-issue-3---june-2014.html
11- Teoh SC, Laude A, Chan DP, Tan CS, Nah GM, Rajagopalan R, Manjunath PK. Optical coherence tomography patterns as predictors of visual outcome in dengue-related maculopathy. Retina. 2010; 30(3): 390-8.Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20094013
12- Taek Kwan R, Jung Il H. Use of Optical Coherence Tomography to Evaluate Visual Acuity and Visual Field Changes in Dengue Fever. Korean J Ophthalmol. 2014; 28(1):96-99. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913988/