Dengue Fever Presenting as Purtscher-like Retinopathy.
OBJECTIVE
To report the fundus manifestations and spectral-domain optical coherence tomographic (SD-OCT) features of dengue fever presenting as Purtscher-like retinopathy.


METHODS
Retrospective review of two cases of dengue fever.


RESULTS
Color fundus photograph revealed the presence of cotton-wool spots in a Purtscher-like configuration in the posterior pole of all study eyes. SD-OCT demonstrated increased reflectivity signal in the inner retinal layers, and after a variable follow-up period, there was complete disappearance of cotton-wool spots and persistence of the hyperreflectivity signal.


CONCLUSIONS
We report two unique cases of dengue fever associated with retinal lesions in a configuration of Purtscher-like retinopathy.
a Department of Ophthalmology , Federal University of Sao Paulo (UNIFESP) , Sao Paulo , Brazil.
Luiz H
LH
Lima
a Department of Ophthalmology , Federal University of Sao Paulo (UNIFESP) , Sao Paulo , Brazil.
Silvana
S
Vianello
b Department of Ophthalmology , University of São Paulo (USP) , São Paulo , Brazil.
Sérgio
S
Pimentel
a Department of Ophthalmology , Federal University of Sao Paulo (UNIFESP) , Sao Paulo , Brazil.
Gabriel
G
Costa de Andrade
a Department of Ophthalmology , Federal University of Sao Paulo (UNIFESP) , Sao Paulo , Brazil.|c Department of Ophthalmology , Pontificia Universidad Católica de Valparaíso , Valparaíso , Chile.
Claudio
C
Zett
a Department of Ophthalmology , Federal University of Sao Paulo (UNIFESP) , Sao Paulo , Brazil.
Léo
L
Muller
a Department of Ophthalmology , Federal University of Sao Paulo (UNIFESP) , Sao Paulo , Brazil.
Michel E
ME
Farah
a Department of Ophthalmology , Federal University of Sao Paulo (UNIFESP) , Sao Paulo , Brazil.
Rubens
R
Belfort
D000328:Adult; D000368:Aged; D004279:DNA, Viral / Q000032:analysis; D003715:Dengue / Q000150:complications* / Q000175:diagnosis; D003716:Dengue Virus / Q000235:genetics; D015828:Eye Infections, Viral / Q000175:diagnosis / Q000209:etiology* / Q000821:virology; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D012160:Retina / Q000473:pathology*; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000821:virology; D041623:Tomography, Optical Coherence / Q000379:methods
D004279:DNA, Viral
Cotton–wool spots; Purtscher-like retinopathy; dengue fever; retinal hemorrhages; spectral-domain optical coherence tomography