Occlusive Retinal Vasculitis with Neovascularization in a Case of Dengue Retinopathy
Accept poster if oral is not possible ?
Yes
Purpose
To present a rare but sight-threatening complication of dengue fever presenting with occlusive retinal vasculitis and proliferative retinopathy
Methods
Case Report
Results
A 21 year old male with a prior history of dengue fever presented with blurring of vision OU. BCVA on presentation was hand movement OD and 20/63 OS. Fundus examination revealed cotton wool spots and retinal hemorrhages OU. OCT showed cystoid macular edema with subretinal fluid OU. He was diagnosed with dengue retinopathy OU. Further work-up was recommended but the patient was lost to follow-up. He returned 4 months later reporting worsening of vision in OS. BCVA was hand motions OU. Fundus examination showed proliferative retinopathy with florid neovascularization and preretinal hemorrhages OU. Fluorescein angiography showed occlusive retinal vasculitis with widespread retinal ischemia OU. OCT revealed macular atrophy OU. The patient was treated with a course of systemic corticosteroids, which resulted in resolution of the retinal vasculitis. However, there was progression of neovascularization with new-onset vitreous hemorrhage in the right eye, prompting panretinal photocoagulation OU. There was regression of neovascularization OU, but vision only improved counting fingers OD and 20/800 OS due to macular ischemia.
Conclusion
Dengue-related eye disease can lead to permanent visual impairment if left untreated. Clinicians should keep this disease entity in mind while evaluating febrile patients with visual complaints in dengue endemic regions.
Conflict of interest
No
1
Last name
BROMEO
Initials of first name(s)
AJ
Department
Asian Eye Institute
City
Manila
Country
Philippines
2
Last name
BACCAY
Initials of first name(s)
CPT
Department
Jose B. Lingad Memorial General Hospital
City
Pampanga
Country
Philippines
3
Last name
MAGNO
Initials of first name(s)
KC
Department
Jose B. Lingad Memorial General Hospital
City
Pampanga
Country
Philippines
4
Last name
TORRES
Initials of first name(s)
C
Department
Jose B. Lingad Memorial General Hospital
City
Pampanga
Country
Philippines
This website uses cookies to ensure you get the best experience on our website.
Learn more