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We report a case series of dengue maculopathy with different ocular manifestations, managements, visual outcomes and sequelae of patients. All three cases were diagnosed to have dengue fever. Patients presented with symptoms of central scotoma (case 1 and case 3) and blurring of vision (case 2) on Day 9 of dengue fever. Fundus examination showed intra retinal haemorrhages (case 1 and case 2) and macula thickening (case 3). Optical coherence tomography (OCT) revealed macular thickening with intra retinal fluid (case 1) and diffuse retinal thickening (case 3), while in case 2, it had irregular ellipsoid line in OCT. Fundus fluorescence angiography (FFA) revealed parafoveal vasculitis. After treatment with systemic steroids, one patient had good visual outcome (case 2), while two others had a persistent central scotoma due to macula atrophy (case 3). Although it is a self limiting disease, but the mode of treatment is variable. Treatment with corticosteroids may hasten recovery of vision and prevent permanent visual impairment.

An 18-year-old female with underlying idiopathic intermediate uveitis developed cataract. She had an uneventful lens aspiration and intraocular lens implantation (IOL) surgery. Two years after the surgery, her vision deteriorated due to posterior capsule opacity (PCO). The rapid progression of PCO from Figure 1a to 1b occurred over a period of 2 weeks.

Since the introduction of polymer banknotes, they have become a new tool for corneal foreign body (CFB) self-removal. Being easily available, lightweight, and sturdy, polymer papers have become a popular and innovative method to dislodge CFB. Although ophthalmology services are easily accessible in Malaysia, ignorance, lack of health awareness, and the desire to avoid medical costs are among the reasons why patients remove CFB themselves. The sequalae span from only a faint scar with relatively good vision to total blindness. Our case series highlights three cases of CFB self-removal using polymer banknotes and their sequalae. To echo what has been known previously, self-awareness and occupational hazard education remain the most important and effective way to prevent vision loss.