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Macular phlebitis in a case of dengue retinopathy

A 32-year-old woman presented with sudden onset 1 day prior of painless diminution of vision in both eyes. The patient had developed an acute febrile illness a week prior and had been diagnosed with dengue fever (DF) after serological testing was positive. At its nadir, her platelet count had been 30 000/µL. On presentation, she was afebrile, and her platelet count was 60 000/µL.

On ocular examination, the best corrected visual acuity (BCVA) was 20/80 in the right eye and 20/200 in the left eye. The anterior segments and intraocular pressures were normal in both eyes. Fundus examination with slit-lamp biomicroscopy revealed perifoveal haemorrhages with scattered white-coloured exudates in the macula of both eyes (left>>right). Detailed magnified examination showed perivascular exudation surrounding …