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Bilateral premacular subhyaloid hemorrhage in dengue Fever.

Dhasmana R - J Ophthalmic Vis Res (2011)

View Article: PubMed Central - PubMed

Affiliation: Himalayan Institute of Medical Sciences, Dehradun, India.

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A 13-year-old girl presented to the ophthalmology clinic complaining of painless decrease in vision in both eyes from two weeks before presentation... Ocular examination revealed best corrected visual acuity (BCVA) of counting fingers in the right eye (OD) and 3/200 in her left eye (OS)... Fundus examination revealed multiple superficial retinal hemorrhages, Roth spots, and large subhyaloid hemorrhages in both eyes (Figures 1 and 2)... The patient was treated with packed cell/platelet transfusions and re-examined after 3 weeks... BCVA had slightly improved to 20/200 OD (Figure 3) and 6/200 OS... The clinical features of dengue fever vary according to the age of the patient... It may occur due to trauma, hematological disorders such as leukemia, after retinal vascular rupture associated with physical exertion (Valsalva retinopathy), or shaken baby syndrome... Spontaneous resorption of subhyaloid hemorrhage may occur, but may result in permanent visual impairment due to pigmentary macular changes... Contact with hemoglobin and iron over a prolonged period may result in formation of epiretinal membranes and toxic damage to the retina... Nd:YAG or argon laser posterior hyaloidotomy is an alternative for releasing the subhyaloid blood into the vitreous cavity thereby facilitating resorption of the blood cells., Dengue is a very rare cause of bilateral subhyaloid hemorrhage... There is only one report on bilateral vitreous hemorrhage in the literature... In our case, as the patient was medically unstable, Nd:YAG hyaloidotomy seemed to be the most appropriate treatment modality; this helped the patient regain ambulatory vision much earlier in her treated eye as compared to the fellow eye.

No MeSH data available.


Related in: MedlinePlus

Color fundus photograph of the left eye showing Roth spots (small arrow), border of the posterior hyaloid (arrowhead), and a large subhyaloid hemorrhage (large arrow).
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f2-jovr-6-1-063: Color fundus photograph of the left eye showing Roth spots (small arrow), border of the posterior hyaloid (arrowhead), and a large subhyaloid hemorrhage (large arrow).

Mentions: Ocular examination revealed best corrected visual acuity (BCVA) of counting fingers in the right eye (OD) and 3/200 in her left eye (OS). The anterior segment was normal in both eyes. Fundus examination revealed multiple superficial retinal hemorrhages, Roth spots, and large subhyaloid hemorrhages in both eyes (Figures 1 and 2).


Bilateral premacular subhyaloid hemorrhage in dengue Fever.

Dhasmana R - J Ophthalmic Vis Res (2011)

Color fundus photograph of the left eye showing Roth spots (small arrow), border of the posterior hyaloid (arrowhead), and a large subhyaloid hemorrhage (large arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3306079&req=5

f2-jovr-6-1-063: Color fundus photograph of the left eye showing Roth spots (small arrow), border of the posterior hyaloid (arrowhead), and a large subhyaloid hemorrhage (large arrow).
Mentions: Ocular examination revealed best corrected visual acuity (BCVA) of counting fingers in the right eye (OD) and 3/200 in her left eye (OS). The anterior segment was normal in both eyes. Fundus examination revealed multiple superficial retinal hemorrhages, Roth spots, and large subhyaloid hemorrhages in both eyes (Figures 1 and 2).

View Article: PubMed Central - PubMed

Affiliation: Himalayan Institute of Medical Sciences, Dehradun, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

A 13-year-old girl presented to the ophthalmology clinic complaining of painless decrease in vision in both eyes from two weeks before presentation... Ocular examination revealed best corrected visual acuity (BCVA) of counting fingers in the right eye (OD) and 3/200 in her left eye (OS)... Fundus examination revealed multiple superficial retinal hemorrhages, Roth spots, and large subhyaloid hemorrhages in both eyes (Figures 1 and 2)... The patient was treated with packed cell/platelet transfusions and re-examined after 3 weeks... BCVA had slightly improved to 20/200 OD (Figure 3) and 6/200 OS... The clinical features of dengue fever vary according to the age of the patient... It may occur due to trauma, hematological disorders such as leukemia, after retinal vascular rupture associated with physical exertion (Valsalva retinopathy), or shaken baby syndrome... Spontaneous resorption of subhyaloid hemorrhage may occur, but may result in permanent visual impairment due to pigmentary macular changes... Contact with hemoglobin and iron over a prolonged period may result in formation of epiretinal membranes and toxic damage to the retina... Nd:YAG or argon laser posterior hyaloidotomy is an alternative for releasing the subhyaloid blood into the vitreous cavity thereby facilitating resorption of the blood cells., Dengue is a very rare cause of bilateral subhyaloid hemorrhage... There is only one report on bilateral vitreous hemorrhage in the literature... In our case, as the patient was medically unstable, Nd:YAG hyaloidotomy seemed to be the most appropriate treatment modality; this helped the patient regain ambulatory vision much earlier in her treated eye as compared to the fellow eye.

No MeSH data available.


Related in: MedlinePlus