Study of Ocular Manifestations in Patients Hospitalized with Dengue Fever
Journal Title: International Journal of Ophthalmology & Eye Science (IJOES) - Year 2018, Vol 6, Issue 6
Abstract
Pterygium is an uncontrolled fibrovascular overgrowth of the conjunctiva of the eye seen with a higher prevalence at areas near the equator. It has a high rate of recurrence which are usually more aggressive and difficult to treat. Several treatment modalities have been proposed, each having its own limitations. We report a case of recurrent pterygium which was treated with pterygium excision, intraoperative mitomycin c application and limbal Objective: To study the clinical spectrum of ocular manifestations in patients hospitalized with dengue fever during a dengue outbreak. Design: It is a cross-sectional observational study, designed to determine the prevalence of ocular signs and symptoms, in hospitalized dengue patients. It was conducted from the month of September to November 2017 (3 months) in a tertiary care hospital of Kolkata, India during a recent dengue outbreak. Methods: A detailed history was taken followed by a comprehensive eye examination which included BCVA assessment, Slit lamp based anterior segment examination was done followed by dilated fundoscopy with 90D slit lamp examination, the findings of which were confirmed by Indirect Ophthalmoscopy. Platelet counts and results of Dengue serological tests were also recorded. Result: 95 patients with dengue fever who were admitted in this hospital in the specified period were included in our study [1]. Dengue patients with ocular manifestations comprised 51.57%. Ocular pain was the most common symptom followed by redness and blurring of vision. The most common eye manifestation according to our study is Subconjunctival Haemorrhage (35.84%) followed by Retinal Hemorrhage (10.52%), Vascular Sheathing (10.52%), Cotton wool spots (9.47%), disc hyperamia (8.42%), and maculopathy (5.26%). Disc changes were noticed mainly in patients with previous history of dengue fever. Correlation of decrease in platelet count was significant with increase in subconjunctival hemorrhage, retinal hemorrhage, cotton wool spots and maculopathy (Pearsons’ correlation coefficient). Conclusion: Patients hospitalized with dengue fever presented with a multitude of ocular symptoms and signs. The most common symptom being ocular pain whereas the most common sign being Subconjunctival hemorrhage. Intra retinal hemorrhages, maculopathy and cotton wool spots were the other most common signs all of which correlated with low platelet counts. Fundus examination can thus be used to prognosticate patients hospitalized with dengue fever.conjunctiva graft taken from the same eye. No sign of recurrence was seen for follow up period of 1 year.
Authors and Affiliations
Vaibhav Shrivastava
Keywords
Related Articles
- EP ID EP533035
- DOI 10.19070/2332-290X-1800078
- Views 93
- Downloads 0
Estrogen Ameliorates Photoreceptor Cell Loss In Light-Induced Retinal Degenerated Balb/C Mice
Purpose: Estrogen or 17β-estradiol (17β-E2) is known to act as an antioxidant and has neuroprotective effects. The purpose of this study is to evaluate the effects of estrogen and estrogen receptor beta (ERβ) on photorec...
Suppression of Epithelial-Mesenchymal Transition by Prostaglandin E2 in Retinal Pigment Epithelial Cells
Background/Aims: An epithelial to mesenchymal transition of retinal pigment epithelium (RPE) cells plays an important role in the formation of proliferative fibrocellular membranes in individuals with proliferative retin...
IN the Spotlight: The International year of Light
IN the Spotlight: The International year of Light
To Study the Effect of Silicone Tube Intubation with and without Mitomycin C in Revision of Failed Dacryocystorhinostomy Surgery
Aims: To study the effect of silicone tube intubation with and without mitomycin c in revision of external dacryocystorhinostomy following failed dacryocystorhinostomy (DCR) surgery. Settings and Design: A Retrospective...
Successful Management of a Patient with Florid Diabetic Retinopathy
Florid diabetic retinopathy is an unusual, aggressive type of diabetic retinopathy. It is seen in young patients with poor metabolic control. Despite advances in treatment the overall prognosis of this condition remains...