Severe ocular and adnexal complications in dengue hemorrhagic fever: A report of 29 eyes.

摘要: Purpose: To describe a series of sight-threatening ocular and adnexal involvement associated with dengue hemorrhagic fever their treatment options. Methods: Retrospective, interventional, non-comparative case series. Medical records patients who presented symptoms attributed to were reviewed. Demography, presenting features, outcomes recorded. Outcome measures assessed included globe salvage, vision visual improvement. The outcome was deemed as favorable if salvage possible unfavorable the lost. Results: Twenty-nine eyes 23 included. Bilateral seen in 6 (26%) patients. mean age 37.62 ± 18.68 years (range: 14 81 years). Coexistent diabetes mellitus enteric present three History blood transfusion nine (40%) thrombocytopenia eight (35%) at time presentation complaints. Presenting features endophthalmitis 11 (38%), panophthalmitis 10 (35%), orbital cellulitis four (14%), isolated corneal or scleral melt (10%), hemorrhage one (3%) patient. Globe achieved 21/29 (72.4%), 6/29 (20.68%), improvement acuity noted 5/29 (17.24%). Logistic regression analysis revealed no significant effect any clinical-microbiological factors on However, that underwent early endoscopic vitrectomy. Conclusion: Dengue can inflammation resulting panophthalmitis, cellulitis, melt, hemorrhage. Early vitrectomy may improve cases vitritis.