Am J Trop Med Hyg. 2021 Jan;104(1):110-114. doi: 10.4269/ajtmh.20-0806.
We describe a case of dengue fever-associated foveolitis that presented initially to the ophthalmologists with complaints of unilateral diminution of vision. A 30-year-old Indian woman had presented with sudden onset diminution of vision in the left eye (LE) for the past 2 days. It was also associated with low-grade fever and myalgia, which started few days before visual deterioration. Fundus showed few retinal hemorrhages and tiny subretinal yellowish lesions at the fovea in the LE. Optical coherence tomography and fluorescein angiography were indicative of foveolitis. Amsler charting showed a central scotoma in the LE. She was treated with oral steroids along with supportive treatments. A near-complete anatomical and functional recovery was noted. Our case depicts the significance of awareness of the ophthalmic complications of dengue fever among both ophthalmologists and physicians, and also highlights the key clinical and multimodal imaging findings in a case of dengue foveolitis.
我们描述了一例登革热相关性中心性视网膜炎病例，该患者最初因单侧视力下降就诊于眼科。一位 30 岁的印度女性因左眼（LE）突发性视力下降 2 天就诊。发病前几天还伴有低热和肌痛。眼底检查显示 LE 有少量视网膜出血和黄斑区小的视网膜下黄色病变。光学相干断层扫描和荧光素血管造影显示为中心性视网膜炎。阿姆斯勒表检查显示 LE 有中心暗点。她接受了口服类固醇和支持治疗。观察到近乎完全的解剖和功能恢复。我们的病例描述了眼科医生和内科医生都需要意识到登革热的眼部并发症的重要性，并强调了登革热中心性视网膜炎病例的关键临床和多模态成像特征。
