Dengue fever leading to unilateral panophthalmitis resulting in corneal perforation

Abstract

ABSTRACT: Dengue Fever is a viral disease caused by the flavivirus family and is usually self-limiting; however, in some cases, it may lead to complications such as dengue hemorrhagic fever or dengue shock syndrome, including hepatic, neurologic, cardiac, and ocular manifestations. Here we present a case of 19 years old female who presented to ED with complaints of fever for ten days and worsening right eye pain, vision blurring, and redness for the preceding two days. On MRI, she was diagnosed with right-sided panophthalmitis, periorbital, and retro-orbital cellulitis. Her hospital course was complicated by posterior vitreous hemorrhage and detachment, leading to corneal perforation and complete visual loss. Unfortunately, evisceration was done, followed by the dermis implant. In light of the above case, performing a thorough ocular examination of such patients is highly recommended. Even minor complaints should be taken into account earnestly to avoid disastrous complications.