Dengue Fever Complicated by Optic Neuropathy: A Case Report
Alexis Galeno Matos *
The Maria Ione Xerez Vasconcelos Teaching and Research Foundation, Fortaleza-CE, Brazil.
Daniel Eduardo Garcia Bezerra
The Maria Ione Xerez Vasconcelos Teaching and Research Foundation, Fortaleza-CE, Brazil.
Joana Tassia Pinheiro de Figueiredo
The Maria Ione Xerez Vasconcelos Teaching and Research Foundation, Fortaleza-CE, Brazil.
Mirlândia Maria Aguiar Vasconcelos Ribeiro
The Maria Ione Xerez Vasconcelos Teaching and Research Foundation, Fortaleza-CE, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Aim: Dengue is a mosquito borne viral disease endemic in many geographical locations of the world. It can manifest from a classic form, with fever, headache and myalgia, to more serious cases, such as dengue hemorrhagic fever, with high mortality rates. Ocular manifestations are relatively uncommon, but when present they have a wide variety of findings. Optic neuropathy is a rare manifestation and has a variable prognosis.
Presentation of Case: In this article, we report a case of optic neuropathy secondary to dengue, adopting conservative management with a significant improvement in visual acuity.
Conclusion: The treatment in neuropathy is quite controversial and not yet defined, some authors advocate the use of systemic and endovenous corticosteroids in an attempt to improve the visual prognosis, but studies reveal a spontaneous resolution in most cases, even in that cited in the article.
Keywords: Dengue fever, optic neuropathy, visual outcome.