title: Dengue related maculopathy and foveolitis.
abstract: A 24 year-old Malay lady presented with high grade fever, myalgia, generalized rashes, severe headache and was positive for dengue serology test. Her lowest platelet count was 45 × 10(9) cells/L. She complained of sudden onset of painlessness, profound loss of vision bilaterally 7 days after the onset of fever. On examination, her right eye best corrected vision was 6/30 and left eye was 6/120. Her anterior segment examination was unremarkable. Funduscopy revealed there were multiple retinal haemorrhages found at posterior pole of both fundi and elevation at fovea area with subretinal fluid. Systemic examination revealed normal findings except for residual petechial rashes. She was managed conservatively. Her vision improved tremendously after 2 months. The retinal hemorrhages and foveal elevation showed sign of resolving. Ocular manifestations following dengue fever is rare. However, bilateral visual loss can occur if both fovea are involved.
authors.affiliation: Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan, Malaysia.
authors.forename: Jaafar
authors.initials: J
authors.lastname: Juanarita
authors.forename: Mohd Noor Raja
authors.initials: MN
authors.lastname: Azmi
authors.forename: Yaakub
authors.initials: Y
authors.lastname: Azhany
authors.forename: Ahmad Tajudin
authors.initials: AT
authors.lastname: Liza-Sharmini
mesh_terms: D003715:Dengue / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005584:Fovea Centralis / Q000473:pathology; D006801:Humans; D008266:Macula Lutea / Q000473:pathology; D012173:Retinitis / Q000175:diagnosis / Q000209:etiology*; D014787:Vision Tests; D055815:Young Adult
keywords: Dengue fever; Foveolitis; Maculopathy