Early treatment of dengue foveolitis resulting in good visual outcome

Teik June Ling, Raajini Devi Krishnan, Hazlita Mohd Isa, Norshamsiah Md. Din

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 34-year-old lady presented with sudden onset of central blurring of vision of left eye on Day 7 of dengue fever confirmed by positive IgM serology. Visual acuity was 6/6 OD (right eye) and 6/18 OS (left eye). Relative afferent pupillary defect was absent. Anterior segment was unremarkable bilaterally. Fundus examination revealed an area of preretinal haemorrhage with surrounding cotton wool spot and exudation at the macula OS and a single dot hemorrhage at the superotemporal arcade OD. Optical coherence tomography showed bilateral macular oedema with extensive central foveal involvement of intraretinal and subretinal fluid OS. The central macular thickness was 408 μm. Fluorescein angiography showed late leakage at the macula with no capillary fall out OS. No obvious leak was seen OD. She was immediately treated with oral prednisolone 1 mg/kg/day with weekly tapering dose. Subsequently, her left eye showed remarkable improvement in visual acuity to 6/9 and reduction in central macular thickness to 207 μm. In conclusion, dengue foveolitis, although rare, can lead to visionthreatening complication if left untreated. Prompt diagnosis and treatment may result in promising visual outcome, as this case.

Original languageEnglish
Pages (from-to)696-698
Number of pages3
JournalAsian Pacific Journal of Tropical Disease
Volume7
Issue number11
DOIs
Publication statusPublished - 1 Nov 2017

Fingerprint

Dengue
Visual Acuity
Pupil Disorders
Hemorrhage
Subretinal Fluid
Macular Edema
Fluorescein Angiography
Wool
Optical Coherence Tomography
Serology
Prednisolone
Immunoglobulin M

Keywords

  • Dengue foveolitis
  • Prednisolone
  • Preretinal haemorrhage Macula oedema

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Early treatment of dengue foveolitis resulting in good visual outcome. / Ling, Teik June; Krishnan, Raajini Devi; Mohd Isa, Hazlita; Md. Din, Norshamsiah.

In: Asian Pacific Journal of Tropical Disease, Vol. 7, No. 11, 01.11.2017, p. 696-698.

Research output: Contribution to journalArticle

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