|LETTER TO EDITOR
|Year : 2022 | Volume
| Issue : 1 | Page : 5
Dengue associated retinal hemorrhages and macular edema
Srinivasan Sanjay, Ankush Kawali, Padmamalini Mahendradas
Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bengaluru, Karnataka, India
|Date of Submission||18-Nov-2021|
|Date of Acceptance||01-Dec-2021|
|Date of Web Publication||09-Feb-2022|
Dr. Srinivasan Sanjay
Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bengaluru, Karnataka
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sanjay S, Kawali A, Mahendradas P. Dengue associated retinal hemorrhages and macular edema. Pan Am J Ophthalmol 2022;4:5
We read with interest the article by Joshi and Wadekar It was noted that the patient received platelet transfusion when her platelet count dropped to 10,000/μl on the 3rd day of admission. Platelet transfusion is associated with the risk of permanent visual impairment as we have published in our series of patients. Prophylactic platelet transfusion has no added advantage over supportive care. The lack of efficacy of prophylactic platelet transfusion, combined with a higher risk of adverse events, leads us to discourage the practice of routine prophylactic platelet transfusion in adult dengue. Was the patient transfused with single donor platelets or pooled donor platelet? Hyper-reflective inner layers on optical coherence tomography (OCT) may indicate a retinitis along with cystoid changes which are common in post fever uveo retinal sequelae.
Dengue can be associated with vitreous and preretinal hemorrhage so the authors claim that this is the first report of cerebral hemorrhage with retinal hemorrhage and macular edema seems far-fetched.,
We have reported earlier that macular edema secondary to epidemic retinitis which may resolve without steroids Majority of cases of post fever uveo-retinal sequelae are self-limiting and treatment may be warranted only in severe sight-threatening cases.
Post-treatment fundus and OCT images may add value to the authors' report.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Joshi RS, Wadekar PD. Bilateral retinal hemorrhages and macular edema in a patient with dengue fever associated with cerebral hemorrhage. Pan Am J Ophthalmol 2021;3:34. [Full text]
Sanjay S, Agrawal S, Jain P, Mahendradas P, Kawali A, Shetty N. Permanent visual impairment in dengue fever following platelet transfusion: A series of 5 cases. Ann Acad Med Singap 2021;50:588-92.
Sanjay S, Agrawal S, Mahendradas P, Kawali A, Gupta A, Shetty R. Post fever uveoretinal manifestations in immunocompetent individual. EMJ Allergy Immunol 2020;5:91-105.
Sanjay S, Au Eong KG. Bilateral vitreous haemorrhage associated with dengue fever. Eye (Lond) 2007;21:144-5.
Kawali A, Srinivasan S, Mohan A, Bavaharan B, Mahendradas P, Shetty B. Epidemic Retinitis with Macular Edema -Treatment Outcome with and without Steroids. Ocul Immunol Inflamm. 2021;29:932-936. doi: 10.1080/09273948.2019.1704792. Epub 2020 Jan 21.