Last update:
   22-Apr-2024
 

Arch Hellen Med, 41(3), May-June 2024, 423-426

CASE REPORT

Rare observation of retinal vasculopathy in a young patient with primary dengue

S. Koruprolu,1 V. Pandurangan,1 S. Varadan,1 R.B. Sudagar Singh,1 S. Sudhakar2
1Department of General Medicine, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai
2Department of Ophthalmology, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, India

A young patient presented with fever for two days and a week later from onset of fever, patient noticed a blurring of vision in both the eyes. Hemogram showed a platelet count of 108,000/μL. Dengue fever was diagnosed based on dengue serology (positive for immunoglobulin IgM). Fundus fluorescein angiography (FFA) showed bilateral dilated, tortuous vessels with retinal hemorrhages and capillary occlusion suggestive of retinal vasculopathy. Patient was treated with a course of oral steroids for five days and symptomatic improvement in visual symptoms was noted. Ocular involvement in dengue is diverse and tends to occur five to seven days after onset of fever during the nadir of thrombocytopenia. Overall, dengue-related ocular complications have a good prognosis.

Key words: Dengue, Retinal vasculitis, Thrombocytopenia, Vasculopathy.

© Archives of Hellenic Medicine