Bilateral acute angle closure glaucoma in a patient with dengue fever: case report

Filho, Paulo de Tarso Ponte Pierre; Filho, Jurandir Pontes Carvalho; Pierre, Érika Teles Linhares

doi:10.1590/s0004-27492008000200025

Cited by 19 publications

(5 citation statements)

References 16 publications

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“…Kapoor et al retrospectively assessed 134 dengue fever patients, among whom up to 40% had ocular manifestations (Kapoor et al, 2006 ). Ocular complications involve: (1) the anterior segment of the eye, e.g., subconjunctival hemorrhage, uveitis, or a shallow anterior chamber (Cruz-Villegas et al, 2003 ; Pierre Filho Pde et al, 2008 ); (2) the posterior segment of the eye, e.g., maculopathy, macular edema, optic neuropathy, or vitreous hemorrhage (Nainiwal et al, 2005 ; Bacsal et al, 2007 ; Chang et al, 2007 ; Tan et al, 2007 ; Kanungo et al, 2008 ; Loh et al, 2008 ; Quek et al, 2009 ). Presentation of dengue-related ocular signs and symptoms often corresponds to thrombocytopenia (Chan et al, 2006 ; Teoh et al, 2006 ).…”

Section: Ophthalmic Complicationsmentioning

confidence: 99%

Neurological Manifestations of Dengue Infection

Zhang

Liu

et al. 2017

Front. Cell. Infect. Microbiol.

161

146

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Dengue counts among the most commonly encountered arboviral diseases, representing the fastest spreading tropical illness in the world. It is prevalent in 128 countries, and each year >2.5 billion people are at risk of dengue virus infection worldwide. Neurological signs of dengue infection are increasingly reported. In this review, the main neurological complications of dengue virus infection, such as central nervous system (CNS), peripheral nervous system, and ophthalmic complications were discussed according to clinical features, treatment and possible pathogenesis. In addition, neurological complications in children were assessed due to their atypical clinical features. Finally, dengue infection and Japanese encephalitis were compared for pathogenesis and main clinical manifestations.

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Section: Ophthalmic Complicationsmentioning

confidence: 99%

Neurological Manifestations of Dengue Infection

Zhang

Liu

et al. 2017

Front. Cell. Infect. Microbiol.

161

146

View full text Add to dashboard Cite

show abstract

“…Dengue fever-associated acute angle-closure glaucoma was reported previously. [ 15 16 ] They postulated that this syndrome causes ciliary body edema, which triggers acute angle-closure. Though no attempts were made to isolate the DENV from the eye, these reports indirectly incriminate the uveal tissue as the site of pathology.…”

Section: Discussionmentioning

confidence: 99%

Evidence of dengue virus in eviscerated specimens of panophthalmitis secondary to dengue fever: A possible cause-effect phenomenon

Dave

Sharma

Lakshmi

et al. 2022

Indian Journal of Ophthalmology

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Purpose: To report a retrospective series of three cases of infectious panophthalmitis post-dengue fever with ex vivo confirmation of dengue virus ribonucleic acid (RNA) in the tissues of the eye. Methods: Four eyes of three patients, who were diagnosed with panophthalmitis following dengue fever and who underwent evisceration, were included. All demographic and clinical data were recorded. The eviscerated samples were subjected to direct microscopy, culture for bacteria, fungi, and parasites, and molecular virology (dengue virus [DENV] NS1-specific reverse transcription loop-mediated isothermal amplification (RT-LAMP) assay). Results: The time from the development of dengue fever to the occurrence of ocular symptoms was 4.33 ± 1.15 (median 5) days. DENV NS1 RNA, suggestive of the presence of the dengue virus, was confirmed in all evisceration specimens (uveal tissue, cornea). All the patients recovered completely from dengue fever and on follow-up had healthy eviscerated sockets. Conclusion: Demonstration of the DENV RNA in the eviscerated specimens of panophthalmitis following dengue fever implicates the DENV in the pathophysiology of the ocular infection.

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“…8 The idea of direct viral damage may be reinforced by the fact that there is ophthalmological involvement described for other haemorrhagic fevers, such as dengue. 9…”

Section: Discussionmentioning

confidence: 99%

Acute angle-closure glaucoma with choroidal effusion revealing a hantavirus infection: Description of ultrasound biomicroscopy imagery and optical coherence tomography Visante

Baillieul

Rouland

2019

European Journal of Ophthalmology

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Purpose: To report a case of bilateral angle-closure associated with systemic hantavirus infection. Materials and methods: A 32-year-old Caucasian man was referred with blurred vision, fever, cough, dyspnea and thrombocytopenia. Ophthalmologic examination revealed myopic shift, elevated intraocular pressure (30 mmHg right eye and 24 mmHg left eye), corneal edema, iridocorneal angle closure and shallow anterior chamber. Ciliochoroidal effusion was detected on anterior segment optical coherence tomography and ultrasound biomicroscopy. Serologic test and polymerase chain reaction confirmed the diagnosis of hantavirus infection and the serotype Puumala. On the sixth day after he started topical anti-glaucoma and cycloplegic medications, the anterior chamber and iridocorneal angles were normalized with disappearance of ciliochoroidal effusion. Conclusion: Puumala hantavirus infection is an exceptional cause of acute bilateral angle-closure combined with ciliochoroidal effusion.

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Bilateral acute angle closure glaucoma in a patient with dengue fever: case report

Cited by 19 publications

References 16 publications

Neurological Manifestations of Dengue Infection

Neurological Manifestations of Dengue Infection

Evidence of dengue virus in eviscerated specimens of panophthalmitis secondary to dengue fever: A possible cause-effect phenomenon

Acute angle-closure glaucoma with choroidal effusion revealing a hantavirus infection: Description of ultrasound biomicroscopy imagery and optical coherence tomography Visante

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