TITLE:
Dengue Maculopathy: Case Series
AUTHORS:
Lai Chan Fhun, Evelyn Tai Li Min, Hong Kee Ng, Tun Wang Ch’ng, Mei Fong Chong, Ahmad Tajudin Liza-Sharmini
KEYWORDS:
Dengue Fever, Maculopathy, Vasculitis
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.6 No.4,
November
14,
2016
ABSTRACT: We report a case series of dengue maculopathy with different ocular manifestations,
managements, visual outcomes and sequelae of patients. All three cases were diagnosed
to have dengue fever. Patients presented with symptoms of central scotoma
(case 1 and case 3) and blurring of vision (case 2) on Day 9 of dengue fever. Fundus
examination showed intra retinal haemorrhages (case 1 and case 2) and macula
thickening (case 3). Optical coherence tomography (OCT) revealed macular thickening
with intra retinal fluid (case 1) and diffuse retinal thickening (case 3), while in
case 2, it had irregular ellipsoid line in OCT. Fundus fluorescence angiography (FFA)
revealed parafoveal vasculitis. After treatment with systemic steroids, one patient had
good visual outcome (case 2), while two others had a persistent central scotoma due
to macula atrophy (case 3). Although it is a self limiting disease, but the mode of
treatment is variable. Treatment with corticosteroids may hasten recovery of vision
and prevent permanent visual impairment.