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Maculopatía Aguda Media Paracentral Asociada a Dengue
1Ophthalmology, Lilavati Hospital, Mumbai, IND.
Cureus
|January 28, 2026
Resumen
La maculopatía aguda media paracentral (MAMP) es una complicación rara del dengue. Este caso destaca la MAMP
Área de la Ciencia:
- Oftalmología; Enfermedades Infecciosas; Imagenología Médica
Sus antecedentes:
- La maculopatía aguda media paracentral (MAMP) se caracteriza por una banda hiperreflectante en la capa nuclear interna (INL) en la tomografía de coherencia óptica (OCT).; Los síntomas de la MAMP incluyen visión borrosa y escotoma paracentral, a menudo relacionados con trastornos vasculares retinianos o sistémicos.; Las complicaciones oculares del dengue son diversas, pero la MAMP se informa raramente.
Objetivo del estudio:
- Presentar los hallazgos clínicos y de OCT de un paciente con MAMP después del dengue.; Investigar el vínculo potencial entre la infección por dengue y la MAMP.; Crear conciencia entre los oftalmólogos sobre este diagnóstico diferencial poco común.
Principales métodos:
- Informe de caso de un hombre de 33 años con dengue.; Examen clínico que incluye agudeza visual, lámpara de hendidura y evaluación de fondo de ojo dilatado.; Tomografía de coherencia óptica (OCT) para evaluar las capas de la retina e identificar las características de la MAMP.; Tratamiento con prednisolona oral y seguimiento de los síntomas y la agudeza visual.
Principales resultados:
- El paciente se presentó con fiebre del dengue, trombocitopenia y síntomas visuales posteriores.; La OCT reveló hiperreflectividad en las capas interna nuclear y plexiforme interna, consistente con MAMP.; El tratamiento con prednisolona condujo a la mejora de los síntomas y al aumento de la agudeza visual en siete días.; Las lesiones retinianas y la hiperreflectividad de la retina interna mostraron una reducción significativa.
Conclusiones:
- La fiebre del dengue puede ser una causa de maculopatía aguda media paracentral (MAMP).; La inflamación inducida por el dengue o la hemoconcentración pueden comprometer el plexo capilar profundo (DCP), lo que lleva a isquemia y MAMP.; Los oftalmólogos deben considerar la MAMP en pacientes con dengue que presenten alteraciones visuales, utilizando la OCT para el diagnóstico.
Palabras clave:
denguemaculopatíatomografía de coherencia ópticamaculopatía aguda media paracentralenfermedad de la retinaMás Videos Relacionados
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