Spontaneous globe rupture: Unusual ophthalmic manifestation with dengue hemorrhagic shock syndrome

We report an unusual manifestation of spontaneous globe rupture in a 9 year old male child with dengue hemorrhagic shock syndrome.

Nine year old male was admitted in the pediatric intensive care unit in a state of altered sensorium secondary to dengue hemorrhagic shock syndrome. Ophthalmic examination revealed proptosis and hemorrhagic chemosis of the right eye. Within two hours of presentation, spontaneous globe rupture with extrusion of intraocular contents occurred in spite of aggressive treatment and intravenous methylprednisolone.

Spontaneous globe rupture in a child with dengue hemorrhagic shock syndrome with such a rapid course is being reported for the first time in literature. Ophthalmologists and pediatricians should be alert regarding vision threatening manifestations related to dengue hemorrhagic shock syndrome.