Author(s)

Lai Chan Fhun¹, Evelyn Tai Li Min^2,3, Hong Kee Ng¹, Tun Wang Ch’ng¹, Mei Fong Chong¹, Ahmad Tajudin Liza-Sharmini^2,3

¹Eye Clinic, Hospital Raja Perempuan Bainun, Ipoh, Malaysia.
²Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia.
³Eye Clinic, Hospital Universiti Sains Malaysia, Kota Bharu, Malaysia.

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.

Dengue Fever, Maculopathy, Vasculitis

Chan Fhun, L. , Tai Li Min, E. , Kee Ng, H. , Wang Ch’ng, T. , Chong, M. and Liza-Sharmini, A. (2016) Dengue Maculopathy: Case Series. Open Journal of Ophthalmology, 6, 221-227. doi: 10.4236/ojoph.2016.64031.