Sub-Inner Limiting Membrane Hemorrhage Secondary to Dengue Fever Treated With Nd: YAG Laser Hyaloidotomy

Purpose: To report a patient with a sub-inner limiting membrane (ILM) hemorrhage secondary to dengue fever treated with neodymium:YAG (Nd:YAG) laser hyaloidotomy. Methods: A single case was evaluated. Results: A 41-year-old man presented with sudden vision loss in the left eye 10 days after being diagnosed with dengue fever. Funduscopy showed a sub-ILM macular hemorrhage in the left eye. Out of concern for retinal toxicity and to quickly restore visual acuity (VA), an Nd:YAG laser hyaloidotomy was performed. One month after the procedure, the logMAR VA in the left eye improved from 0.1 to 1.0 with complete resolution of the hemorrhage. Conclusions: Given the substantial increase in cases of dengue fever and its possible ophthalmologic involvement, this case highlights the importance of an ophthalmologic examination with funduscopy in patients with a sub-ILM hemorrhage and the possibility of treatment with an Nd:YAG laser.