Translateur Amir, Perez-Rueda Mario
Ophthalmology Resident, Escuela Superior de Oftalmología, Instituto Barraquer de América, Bogotá, D.C., Colombia.
Neuro-Ophthalmology Department, Clínica Barraquer, Bogotá, D.C., Colombia.
Am J Ophthalmol Case Rep. 2022 Mar 31;26:101474. doi: 10.1016/j.ajoc.2022.101474. eCollection 2022 Jun.
To highlight an interesting case of Acute Macular Neuroretinopathy (AMN) in the context of dengue disease.
A 70 year old woman from Ibagué, Colombia developed AMN during her hospitalization for dengue illness with warning signs. Her initial ophthalmic evaluation revealed a deep visual loss with no noticeable biomicroscopic findings and altered outer retinal layers in her macular optical coherence tomography (OCT). After a five year follow up, she maintains a poor visual acuity.
There are few reported cases of AMN associated to dengue. This case report highlights the common physiopathological pathways between dengue and AMN, and the crossroads between vascular, infectious, and immune disorders.
在登革热疾病背景下突出一例有趣的急性黄斑神经视网膜病变（AMN）病例。
一名来自哥伦比亚伊瓦格的70岁女性在因登革热疾病伴警示症状住院期间患上了AMN。她最初的眼科检查显示视力严重下降，生物显微镜检查未发现明显异常，黄斑光学相干断层扫描（OCT）显示视网膜外层改变。经过五年随访，她的视力仍然很差。
与登革热相关的AMN报告病例很少。本病例报告突出了登革热与AMN之间常见的生理病理途径，以及血管、感染和免疫紊乱之间的交叉点。
