TY - JOUR
T1 - Acute macular neuroretinopathy in dengue virus serotype 1
AU - Guardiola, Gabriel A.
AU - Villegas, Victor M.
AU - Cruz-Villegas, Vanessa
AU - Schwartz, Stephen G.
N1 - Funding Information:
The authors want to acknowledge the work of Miss. Annie Duarte, Miss. Karla Rohena and Miss. Ellen Hernandez for the photographic contributions. The authors declare no conflict of interest, no funding, or grant support. All authors attest that they meet the current ICMJE criteria for Authorship.
Publisher Copyright:
© 2021
PY - 2022/3
Y1 - 2022/3
N2 - Purpose: To report a case of acute macular neuroretinopathy (AMN) associated with dengue virus serotype 1 infection. Observation: An 18-year-old Puerto Rican female was evaluated due to painless paracentral scotomas in each eye that developed after being hospitalized for dengue fever a week before. Clinical examination and multimodal imaging revealed bilateral hypopigmented macular lesions, hyperreflectivity at the outer nuclear and photoreceptor layer, and reduced flow signal in the deep capillary plexus. Additionally, hypoautofluorescent parafoveal lesions were found in the left eye. AMN was diagnosed. Two-month follow-up after the initial evaluation showed resolution of symptoms but persistence of some findings on optical coherence tomography. Conclusions and importance: Patients with dengue virus serotype 1 may develop paracentral scotomas with classic AMN findings and obtain complete symptomatic recovery without treatment.
AB - Purpose: To report a case of acute macular neuroretinopathy (AMN) associated with dengue virus serotype 1 infection. Observation: An 18-year-old Puerto Rican female was evaluated due to painless paracentral scotomas in each eye that developed after being hospitalized for dengue fever a week before. Clinical examination and multimodal imaging revealed bilateral hypopigmented macular lesions, hyperreflectivity at the outer nuclear and photoreceptor layer, and reduced flow signal in the deep capillary plexus. Additionally, hypoautofluorescent parafoveal lesions were found in the left eye. AMN was diagnosed. Two-month follow-up after the initial evaluation showed resolution of symptoms but persistence of some findings on optical coherence tomography. Conclusions and importance: Patients with dengue virus serotype 1 may develop paracentral scotomas with classic AMN findings and obtain complete symptomatic recovery without treatment.
KW - Acute macular neuroretinopathy
KW - Dengue fever
KW - Dengue maculopathy
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U2 - 10.1016/j.ajoc.2021.101250
DO - 10.1016/j.ajoc.2021.101250
M3 - Article
AN - SCOPUS:85122510682
VL - 25
JO - American Journal of Ophthalmology Case Reports
JF - American Journal of Ophthalmology Case Reports
SN - 2451-9936
M1 - 101250
ER -
