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A Case Report of Dengue-Associated Maculopathy With Literature Review
We report a case of dengue-associated maculopathy in a healthy adult. A 31-year-old lady with dengue fever presented with both eye sudden, painless blurry vision in the left eye. On examination, the best-corrected visual acuity was 6/18 in her right eye and 2/60 in her left eye. Anterior segment exa...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082618/ https://www.ncbi.nlm.nih.gov/pubmed/37038576 http://dx.doi.org/10.7759/cureus.35937 |
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author | Govinda Raju, Durgavashini Ramli, Norlina Ramayaj, Rathna |
author_facet | Govinda Raju, Durgavashini Ramli, Norlina Ramayaj, Rathna |
author_sort | Govinda Raju, Durgavashini |
collection | PubMed |
description | We report a case of dengue-associated maculopathy in a healthy adult. A 31-year-old lady with dengue fever presented with both eye sudden, painless blurry vision in the left eye. On examination, the best-corrected visual acuity was 6/18 in her right eye and 2/60 in her left eye. Anterior segment examination was unremarkable. Fundi showed bilateral macula edema with cotton wool spots. Optical coherence tomography (OCT) macula scan was suggestive of bilateral macula edema, with higher severity in the left eye. She was started on intravenous methylprednisolone 500mg once daily for three days. Upon completion of steroids, her right eye visual acuity improved to 6/6 however her left eye vision worsened to 3/60 after six months. Her OCT six months later showed resolved macula edema on both eyes. Ocular manifestation associated with dengue fever is rare but may result in permanent visual impairment. The use of high-dose steroids helps in improving visual acuity. |
format | Online Article Text |
id | pubmed-10082618 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-100826182023-04-09 A Case Report of Dengue-Associated Maculopathy With Literature Review Govinda Raju, Durgavashini Ramli, Norlina Ramayaj, Rathna Cureus Ophthalmology We report a case of dengue-associated maculopathy in a healthy adult. A 31-year-old lady with dengue fever presented with both eye sudden, painless blurry vision in the left eye. On examination, the best-corrected visual acuity was 6/18 in her right eye and 2/60 in her left eye. Anterior segment examination was unremarkable. Fundi showed bilateral macula edema with cotton wool spots. Optical coherence tomography (OCT) macula scan was suggestive of bilateral macula edema, with higher severity in the left eye. She was started on intravenous methylprednisolone 500mg once daily for three days. Upon completion of steroids, her right eye visual acuity improved to 6/6 however her left eye vision worsened to 3/60 after six months. Her OCT six months later showed resolved macula edema on both eyes. Ocular manifestation associated with dengue fever is rare but may result in permanent visual impairment. The use of high-dose steroids helps in improving visual acuity. Cureus 2023-03-09 /pmc/articles/PMC10082618/ /pubmed/37038576 http://dx.doi.org/10.7759/cureus.35937 Text en Copyright © 2023, Govinda Raju et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Ophthalmology Govinda Raju, Durgavashini Ramli, Norlina Ramayaj, Rathna A Case Report of Dengue-Associated Maculopathy With Literature Review |
title | A Case Report of Dengue-Associated Maculopathy With Literature Review |
title_full | A Case Report of Dengue-Associated Maculopathy With Literature Review |
title_fullStr | A Case Report of Dengue-Associated Maculopathy With Literature Review |
title_full_unstemmed | A Case Report of Dengue-Associated Maculopathy With Literature Review |
title_short | A Case Report of Dengue-Associated Maculopathy With Literature Review |
title_sort | case report of dengue-associated maculopathy with literature review |
topic | Ophthalmology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082618/ https://www.ncbi.nlm.nih.gov/pubmed/37038576 http://dx.doi.org/10.7759/cureus.35937 |
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