Foveolitis with fever: An optical tomography biomarker for dengue maculopathy

Abstract

We report a case of a 25-year-old boy presenting to an ophthalmologist with unilateral foveolitis associated with fever. After a thorough ocular clinical examination and with the aid of the characteristic finding of foveolitis on optical coherence tomography, a probable clinical diagnosis of dengue fever maculopathy secondary to systemic dengue was made. The patient was referred to the physician for systemic management of dengue. On laboratory investigation, the patient was found to be seropositive for dengue virus. The patient was treated with topical and systemic steroids from our end besides receiving general symptomatic care at the physician’s end. This case highlights the role of an ophthalmologist in promptly diagnosing and managing dengue-related ocular complications in collaboration with a physician.