1 Arquivos Brasileiros de Oftalmologia 2010 Vol: 73(2):. DOI: 10.1590/S0004-27492010000200015

Neurite óptica bilateral após infecção viral por dengue: relato de casos

Dengue fever is a well known viral infection transmitted through the bite of an infected Aedes aegypti and Aedes albopictus mosquito. Its geographic distribution covers over 100 countries. Clinical presentation is variable and depends upon the age and immunological status of the patient. It can be classified as asymptomatic illness, dengue fever, dengue hemorrhagic or dengue shock syndrome. Ocular manifestations of dengue have been described, however there are few reports on neurological involvement. We hereby report two cases of bilateral optic neuritis after dengue viral infection. Both of them rapidly recovered the visual acuity without treatment.

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  1. Lim WK, Mathur R, Koh A, Yeoh R, Chee SP. Ocular manifestations of dengue fever. Ophthalmology.111(11) , 2057-64 (2004) .
  2. Angibaud G, Luaute J, Laille M, Gaultier C. Brain involvement in Dengue fever. J Clin Neurosci.8(1) , 63-5 (2001) .
  3. Haritoglou C, Scholz F, Bialasiewicz A, Klauss V. Okuläre Manifestation bei Dengue-Fieber. Ophthalmologe.97(6) , 433-6 (2000) .
  4. Gill WD. Ocular symptoms in dengue based on analysis ofcases. Arch Ophthalmol. 1928 57, 628-38 (1241) .
  5. Preechawat P, Poonyathalang A. Bilateral optic neuritis after dengue viral infection. J Neuroophthalmol.25(1) , 51-2 (2005) .
  6. Haritoglou C, Dotse SD, Rudolph G, Stephan CM, Thurau SR, Klauss V. A tourist with dengue fever and visual loss. Lancet.360(9339):1070. Comment in: Lancet. 2003;361(9352) , 181-2 (2002) .
  7. Cruz-Villegas V, Berrocal AM, Davis JL. Bilateral choroidal effusions associated with dengue fever. Retina.23(4) , 576-8 (2003) .
  8. Shubhakaran Jakhar R. Ocular changes in infectious diseases. J Assoc Physicians India.53:; author reply 914 , 913-4 (2005) .
  9. Chan DP, Teoh SC, Tan CS, Nah GK, Rajagopalan R, Prabhakaragupta MK, Chee CK, Lim TH, Goh KY; Eye Institute Dengue-Related Ophthalmic Complications Workgroup. Ophthalmic complications of dengue. Emerg Infect Dis.12(2) , 285-9 (2006) .