Chuah K H, Ng C W K, Zabri K, Wong C L
Hospital Kulim, Department of Medicine, Kedah, Malaysia.
Hospital Selayang, Department of Ophthalmology, Selangor, Malaysia.
Med J Malaysia. 2017 Feb;72(1):73-74.
Dengue infection is epidemic but ocular complications of dengue are less reported. We report a case of dengueinfected patient with disturbing ocular symptoms. He was admitted for severe dengue. Subsequently, he presented with symptoms of bilateral central scotoma with metamorphosia. Fundus examination revealed cotton wool spots and flame-shaped haemorrhages at the macula, with dull foveal light reflex. He was diagnosed with bilateral dengue maculopathy. The patient was managed conservatively with surveillance. One week later, his eye symptoms improved and were resolved six months later. Early recognition and close monitoring remains the key to successful management and interventions are rarely needed.
登革热感染呈流行性，但登革热的眼部并发症报道较少。我们报告一例登革热感染患者出现令人困扰的眼部症状。他因严重登革热入院。随后，他出现双侧中央暗点伴视物变形的症状。眼底检查发现黄斑区有棉絮斑和火焰状出血，中心凹光反射暗淡。他被诊断为双侧登革热黄斑病变。该患者接受了保守治疗并进行监测。一周后，他的眼部症状有所改善，六个月后症状消失。早期识别和密切监测仍然是成功治疗的关键，很少需要进行干预。
