Citation

Nah G, Tan M, Teoh S, Chong CH. Aviat. Space Environ. Med. 2007; 78(11): 1064-1067.

Affiliation

Singapore Armed Forces Medical Corps.

Copyright

(Copyright © 2007, Aerospace Medical Association)

DOI

unavailable

PMID

18018440

Abstract

Dengue fever is the most prevalent vector-borne flavivirus infection in humans. Its ocular manifestations have only recently been reported with increasing frequency. We present a case of an air force rotary wing pilot who presented with dengue-related maculopathy and decrement in visual function. The pilot ultimately recovered full visual function and was returned to full unrestricted flying duties with the proviso of regular ophthalmic monitoring. Dengue-related maculopathy may present with retinal edema, blot hemorrhages, and vasculitis. Less common features include exudative retinal detachment, cotton wool spots, and anterior uveitis. It is generally self-resolving with good prognosis. Treatment is controversial, but a course of corticosteroids has been tried in view of a postulated underlying immune-mediated pathology. It is recommended that aviators who have recovered from dengue fever undergo a clinical ophthalmological examination before return to flying duties.

Language: en