Srimati Kanuri Santhamma Centre for Vitreoretinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Srimati Kanuri Santhamma Centre for Vitreoretinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India
BMJ Case Rep. 2021 May 24;14(5):e242274. doi: 10.1136/bcr-2021-242274.
Dengue haemorrhagic fever with consequent thrombocytopaenia can lead to intracranial haemorrhage and Terson's syndrome that can lead to visual problems. Simultaneously, the dengue virus can cause typical viral retinitis like picture in the eye. Early funduscopy and vision assessment is desirable in all dengue patients. In our case, an infant with dengue haemorrhagic fever and intracranial haemorrhage developed not only simultaneous bilateral vitreous and subinternal limiting membrane haemorrhage due to Terson's syndrome from the indirect effect of thrombocytopaenia but also typical chorioretinitis possibly due to the direct effect of the virus on the retina. The vitreoretinal surgical outcome was satisfactory in this case.
登革出血热伴随后发血小板减少症可导致颅内出血和 Terson 综合征，从而导致视力问题。同时，登革热病毒可引起眼部典型的病毒性视网膜炎。所有登革热患者都应尽早进行眼底检查和视力评估。在我们的病例中，一名患有登革出血热和颅内出血的婴儿不仅因血小板减少症的间接影响而同时发生双侧玻璃体和内界膜下出血（Terson 综合征），而且可能因病毒直接作用于视网膜而发生典型的脉络膜视网膜炎。本例的玻璃体视网膜手术结果令人满意。
