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Related Experiment Videos

Dengue maculopathy: a case report.

S Y Tan1, G Kumar, S K Surrun

  • 1Department of Internal Medicine, Singapore General Medicine, Singapore. tanshuyun@pacific.net.sg

Travel Medicine and Infectious Disease
|December 13, 2006
PubMed
Summary
This summary is machine-generated.

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Dengue maculopathy is a rare complication of dengue fever, potentially causing vision loss. Early detection and steroid treatment may improve visual outcomes in affected travelers.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Public Health

Background:

  • Dengue fever is a prevalent mosquito-borne viral illness in Southeast Asia.
  • Dengue maculopathy, an ocular complication, is infrequently reported despite dengue's endemicity.
  • Increased international travel raises concerns for the global incidence of dengue-related conditions.

Observation:

  • A case study details a 31-year-old male traveler presenting with dengue fever symptoms and subsequent bilateral blurred vision.
  • Ophthalmoscopic examination revealed signs of retinal hemorrhages, optic disc hyperemia, and macular ischemia.
  • The patient experienced significant improvement in visual acuity and color vision after high-dose corticosteroid therapy.

Findings:

  • The exact pathogenesis of dengue maculopathy remains unclear, though an immunological mechanism is suspected.

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  • While high-dose steroids appeared beneficial for visual function, their long-term impact on prognosis is undetermined.
  • Recovery from dengue maculopathy can range from 8 weeks to 4 months.
  • Implications:

    • Dengue maculopathy, though rare, poses a risk of permanent visual impairment.
    • Systematic screening for maculopathy is crucial for travelers presenting with visual disturbances after visiting dengue-endemic regions.
    • Heightened awareness and diagnostic vigilance are necessary given the rising incidence of dengue fever and global travel.