Acute macular neuroretinopathy in dengue virus serotype 1

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....

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Main Authors: Gabriel A. Guardiola, Victor M. Villegas, Vanessa Cruz-Villegas, Stephen G. Schwartz
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993621002590
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author Gabriel A. Guardiola
Victor M. Villegas
Vanessa Cruz-Villegas
Stephen G. Schwartz
author_facet Gabriel A. Guardiola
Victor M. Villegas
Vanessa Cruz-Villegas
Stephen G. Schwartz
author_sort Gabriel A. Guardiola
collection DOAJ
description 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.
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spelling doaj.art-1b394dbeefa24ef69ad94b5c3f1bb1272022-12-21T17:22:36ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-03-0125101250Acute macular neuroretinopathy in dengue virus serotype 1Gabriel A. Guardiola0Victor M. Villegas1Vanessa Cruz-Villegas2Stephen G. Schwartz3Universidad Central del Caribe School of Medicine, PO BOX 60327, Bayamon, 00960-6032 , Puerto RicoDepartment of Ophthalmology, University of Puerto Rico School of Medicine, University of Puerto Rico, Medical Sciences Campus, PO BOX 365067, San Juan, 00936-5067, Puerto Rico; Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; Corresponding author. 360 Del Parque St. Suite 1, San Juan, PR, 00912, Puerto Rico.Department of Ophthalmology, University of Puerto Rico School of Medicine, University of Puerto Rico, Medical Sciences Campus, PO BOX 365067, San Juan, 00936-5067, Puerto RicoBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USAPurpose: 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.http://www.sciencedirect.com/science/article/pii/S2451993621002590Acute macular neuroretinopathyDengue feverDengue maculopathy
spellingShingle Gabriel A. Guardiola
Victor M. Villegas
Vanessa Cruz-Villegas
Stephen G. Schwartz
Acute macular neuroretinopathy in dengue virus serotype 1
American Journal of Ophthalmology Case Reports
Acute macular neuroretinopathy
Dengue fever
Dengue maculopathy
title Acute macular neuroretinopathy in dengue virus serotype 1
title_full Acute macular neuroretinopathy in dengue virus serotype 1
title_fullStr Acute macular neuroretinopathy in dengue virus serotype 1
title_full_unstemmed Acute macular neuroretinopathy in dengue virus serotype 1
title_short Acute macular neuroretinopathy in dengue virus serotype 1
title_sort acute macular neuroretinopathy in dengue virus serotype 1
topic Acute macular neuroretinopathy
Dengue fever
Dengue maculopathy
url http://www.sciencedirect.com/science/article/pii/S2451993621002590
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