• Users Online: 311
  • Print this page
  • Email this page


 
 Table of Contents  
PHOTO ESSAY
Year : 2021  |  Volume : 59  |  Issue : 4  |  Page : 407-408

Foveolitis as a complication of dengue fever


1 Department of Comprehensive Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India
2 Department of Ocular Pathology, Uveitis and Neuro-Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, India

Date of Submission13-May-2021
Date of Decision07-Jul-2021
Date of Acceptance07-Jul-2021
Date of Web Publication21-Dec-2021

Correspondence Address:
Dr. Palak Chirania
Sri Sankaradeva Nethralaya, Guwahati, Assam
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_62_21

Get Permissions

  Abstract 


A 35 years old presented with complaints of distortion of vision since 1 week and difficulty in night driving since 1 month in both the eyes(OU). BCVA was 6/6, N6 slit lamp was normal OU. Fundus showed multiple white lesions, glistening retinal reflex. Optical coherence tomography revealed incomplete foveolitis with sensorineural detachment. On further enquiry, patient gave history of dengue fever 1.3 years back which was treated. Fundus reports revealed placoid lesions OU without hemorrhage change. Fundus fluorescent angiography confirmed the findings. Thus a diagnosis of acute multifocal placoid pigment epitheliopathy with residual post dengue foveolitis was made. A course of steroids was started following which the symptoms improved.

Keywords: Dengue, fever, foveolitis


How to cite this article:
Chirania P, Das D, Bhattacharjee H. Foveolitis as a complication of dengue fever. TNOA J Ophthalmic Sci Res 2021;59:407-8

How to cite this URL:
Chirania P, Das D, Bhattacharjee H. Foveolitis as a complication of dengue fever. TNOA J Ophthalmic Sci Res [serial online] 2021 [cited 2022 Jan 27];59:407-8. Available from: https://www.tnoajosr.com/text.asp?2021/59/4/407/333177




  Presentation Top


A 35-year-old male presented with complaints of distortion of vision since 1 week and difficulty in night driving since 1 month in both the eyes (OU). Best-corrected visual acuity was 6/6, N6 slit lamp was normal OU. Fundus showed multiple white lesions and a glistening retinal reflex [Figure 1]. Optical coherence tomography revealed focal thickening of subfoveal outer retina with sensorineural detachment [Figure 2]. On further inquiry, the patient gave a history of dengue fever 1.3 years back which was treated. Previous fundus reports done elsewhere revealed placoid lesions OU with hemorrhages. Fundus fluorescent angiography confirmed the findings [Figure 3] and [Figure 4]. Thus, a diagnosis of acute multifocal placoid pigment epitheliopathy with residual post dengue foveolitis was made. A course of steroids was started following which the symptoms improved.
Figure 1: Fundus examination showing Multiple white placoid lesions & glistening retinal reflex

Click here to view
Figure 2: OCT showing incomplete foveolitis with sensorineural detachment

Click here to view
Figure 3: FFA and ICGA of OD showing multiple hyperfluorescent and hypofluorescent areas

Click here to view
Figure 4: FFA and ICGA of OS showing multiple hyperfluorescent and hypofluorescent areas

Click here to view



  Discussion Top


Dengue fever is vector-borne disease, transmitted through the bite of an infected female Aedes aegypti/albopictus mosquito.[1] Its ocular manifestations have been neglected. In the eye, it can cause complications ranging from mild blurring of vision to severe visual impairment.[2]

The posterior segment manifestations include retinal vasculopathy, maculopathy, edema, optic neuropathy, and vitritis.[3],[4] Dengue-related foveolitis occurs due to focal disruption in outer neurosensory retina.[2] It refers to discrete, well-defined yellow-orange lesion at the fovea. Immune-mediated mechanism may play a role. Ocular manifestations are self-limiting and treatment is conservative.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has/have given his consent for his images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Juanarita J, Azmi MN, Azhany Y, Liza-Sharmini AT. Dengue related maculopathy and foveolitis. Asian Pac J Trop Biomed 2012;2:755-6.  Back to cited text no. 1
    
2.
Yip VC, Sanjay S, Koh YT. Ophthalmic complications of dengue fever: A systematic review. Ophthalmol Ther 2012;1:2.  Back to cited text no. 2
    
3.
Loh BK, Bacsal K, Chee SP, Cheng BC, Wong D. Foveolitis associated with dengue fever: A case series. Ophthalmologica 2008;222:317-20.  Back to cited text no. 3
    
4.
Bacsal KE, Chee SP, Cheng CL, Flores JV. Dengue-associated maculopathy. Arch Ophthalmol 2007;125:501-10.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
Abstract
Presentation
Discussion
References
Article Figures

 Article Access Statistics
    Viewed298    
    Printed0    
    Emailed0    
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]