Rinsho Ganka Volume 64, Issue 7 (July 2010)

A case of bilateral optic neuropathy following infection by dengue fever Kaori Ideguchi 1 , Tomoko Yokoyama 1 , Yoshiaki Kiuchi 1 1Dept of Ophthalmol and Vis Sci,Hiroshima Univ Grad Sch of Biomed Sci pp.1131-1134
Published Date 2010/7/15
DOI https://doi.org/10.11477/mf.1410103259
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Abstract. Purpose:To report a case who developed optic neuropathy in both eyes after acute infection by dengue fever. Case:A 30-year-old female presented with photopsy in both eyes. She had been infected by dengue hemorrhagic fever 3 months ago while staying in Thailand. She noticed severely impaired vision in both eyes 5 days later. Findings:Corrected visual acuity was 0.6 right and 0.9 left. Both eyes showed blurring of nasal margin of optic disc. Fluorescein angiography showed hyperfluorescence in the same area. Perimetry showed enlarged blind spot and central scotoma in both eyes. Visual acuity improved to 1.0 in both eyes after treatment with peroral cyanocobalamin for one month. Conclusion:The present case illustrates that acute infection may be followed by severe optic neuropathy in both eyes which may heal spontaneously after a few months.

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64巻7号 (2010年7月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院