Ooi K G-J, Inglis H, Paramanathan N, Downie J A, Hennessy M P
Department of Ophthalmology, Prince of Wales Hospital, Barker Street, Randwick, NSW 2031, Australia.
Case Rep Ophthalmol Med. 2016;2016:5704695. doi: 10.1155/2016/5704695. Epub 2016 Dec 19.
. To describe a case of dengue fever-associated maculopathy and panuveitis to raise awareness of these ophthalmic complications of dengue in Australia in the light of recent increasing numbers of outbreaks from equatorial through to tropical Australia. . A 37-year-old Caucasian Australian male returning from Cambodia presented with a bilateral dengue fever-associated maculopathy with left panuveitis diagnosed clinically and haematologically. Automated perimetry revealed bilateral paracentral scotomas while optical coherence tomography demonstrated the maculopathies to be of the diffuse retinal thickening type in the right eye and acute macular neuroretinopathy (AMN) type in the left eye. He was treated conservatively with only topical steroids and cycloplegia and made a full clinical visual recovery. . Our case study underscores the importance of the awareness of the ophthalmic complications of dengue fever as despite their rarity they can be potentially sight threatening. The incidence of these complications is likely to rise in Australia with increased global warming and the distribution of into subtropical Australia.
鉴于近期从赤道地区到澳大利亚热带地区登革热疫情不断增加,描述一例登革热相关黄斑病变和全葡萄膜炎病例,以提高澳大利亚对登革热这些眼科并发症的认识。一名从柬埔寨返回的37岁澳大利亚白种男性,临床和血液学诊断为双侧登革热相关黄斑病变伴左眼全葡萄膜炎。自动视野检查显示双侧旁中心暗点,而光学相干断层扫描显示右眼黄斑病变为弥漫性视网膜增厚型,左眼为急性黄斑神经视网膜病变(AMN)型。他仅接受局部类固醇和睫状肌麻痹剂保守治疗,临床视力完全恢复。我们的病例研究强调了认识登革热眼科并发症的重要性,尽管这些并发症罕见,但可能会威胁视力。随着全球变暖加剧以及登革热传播至澳大利亚亚热带地区,这些并发症的发病率在澳大利亚可能会上升。