The Pan-American Journal of Ophthalmology

LETTER TO EDITOR
Year
: 2022  |  Volume : 4  |  Issue : 1  |  Page : 6-

Reply to comments on bilateral retinal hemorrhages and macular edema in a patient with dengue fever associated with cerebral hemorrhage


Rajesh Subhash Joshi, Preeti Dashrath Wadekar 
 Department of Ophthalmology, Government Medical College, Nagpur, Maharashtra, India

Correspondence Address:
Dr. Rajesh Subhash Joshi
77, Panchatara Housing Society, Manish Nagar, Somalwada, Nagpur - 440 015, Maharashtra
India




How to cite this article:
Joshi RS, Wadekar PD. Reply to comments on bilateral retinal hemorrhages and macular edema in a patient with dengue fever associated with cerebral hemorrhage.Pan Am J Ophthalmol 2022;4:6-6


How to cite this URL:
Joshi RS, Wadekar PD. Reply to comments on bilateral retinal hemorrhages and macular edema in a patient with dengue fever associated with cerebral hemorrhage. Pan Am J Ophthalmol [serial online] 2022 [cited 2022 Jul 5 ];4:6-6
Available from: https://www.thepajo.org/text.asp?2022/4/1/6/337476


Full Text



Dear Editor,

We thank the readers for commenting on our article.[1] We do agree with the authors about permanent visual loss in patients transfused with platelets as reported by authors in a series of 5 cases.[2] Our patient was under the care of a physician before referral to the ophthalmology department. However, no such event was observed in our case.

In our case, supportive therapy with single donor platelet transfusion was done. Dengue is definitely associated with vitreous hemorrhage and preretinal hemorrhage.[3] We do not claim about the first report of dengue associated with retinal hemorrhage and macular edema. However, this patient had bleeding in the cerebral hemisphere associated with bilateral macular edema and retinal hemorrhages. Reference 3 cited by authors is a review article and 5 is the letter to the editor.

Posttreatment fundus and optical coherence tomography images were not available with us, therefore not included in the report.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Joshi 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.
2Sanjay 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.
3Nainiwal S, Garg SP, Prakash G, Nainiwal N. Bilateral vitreous haemorrhage associated with dengue fever. Eye (Lond) 2005;19:1012-3.