title: Maculopathy associated with Dengue fever in a military pilot.
abstract: Dengue fever is the most prevalent vector-borne flavivirus infection in humans. Its ocular manifestations have only recently been reported with increasing frequency. We present a case of an air force rotary wing pilot who presented with dengue-related maculopathy and decrement in visual function. The pilot ultimately recovered full visual function and was returned to full unrestricted flying duties with the proviso of regular ophthalmic monitoring. Dengue-related maculopathy may present with retinal edema, blot hemorrhages, and vasculitis. Less common features include exudative retinal detachment, cotton wool spots, and anterior uveitis. It is generally self-resolving with good prognosis. Treatment is controversial, but a course of corticosteroids has been tried in view of a postulated underlying immune-mediated pathology. It is recommended that aviators who have recovered from dengue fever undergo a clinical ophthalmological examination before return to flying duties.
authors.affiliation: Singapore Armed Forces Medical Corps.
authors.forename: Gerard
authors.initials: G
authors.lastname: Nah
authors.forename: Marcus
authors.initials: M
authors.lastname: Tan
authors.forename: Stephen
authors.initials: S
authors.lastname: Teoh
authors.forename: Chun Hon
authors.initials: CH
authors.lastname: Chong
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D000401:Aircraft; D000818:Animals; D003715:Dengue / Q000150:complications*; D006801:Humans; D008268:Macular Degeneration / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008887:Military Medicine; D008889:Military Personnel; D012307:Risk Factors; D012846:Singapore