Annals of Tropical Medicine and Public Health
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Year : 2015  |  Volume : 8  |  Issue : 5  |  Page : 217-218

Bilateral panophthalmitis in dengue fever

1 Department of Ophthalmology, St John's Medical College Hospital, Bangalore, Karnataka, India
2 Department of Emergency Medicine, St John's Medical College Hospital, Bangalore, Karnataka, India

Correspondence Address:
Sangeetha Sriram
Department of Ophthalmology, St John's Medical College Hospital, Sarjapur Road, Bangalore - 560 005, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.159837

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We report the case of a 25-year-old male patient who presented with bilateral panophthalmitis as the initial ocular manifestation of dengue fever. The diagnosis was a little confusing as he initially presented with features suggestive of retrobulbar hemorrhage secondary to his very low platelet count, which is a common feature of dengue fever. Ophthalmic complications are usually seen in young adults who often present at the nadir of thrombocytopenia. Ocular findings may include anterior uveitis, vitritis, retinal hemorrhages, retinal vascular sheathing, yellow subretinal dots, retinal pigment epithelium (RPE) mottling, foveolitis that is clinically seen as a round subretinal yellowish lesion at the fovea, retinochoroiditis, choroidal effusion, optic disc swelling, optic neuritis, neuroretinitis, and oculomotor nerve palsy. [1] There is only one reported case of unilateral endogenous panophthalmitis due to dengue fever. Hence, clinicians and ophthalmologists have to be aware of this vision-threatening complication of dengue for early recognition and prompt treatment to save the vision of these young patients and prevent morbidity.

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