TY - JOUR PY - 2007// TI - Maculopathy associated with Dengue fever in a military pilot JO - Aviation, space, and environmental medicine A1 - Nah, Gerard A1 - Tan, Marcus A1 - Teoh, Stephen A1 - Chong, Chun Hon SP - 1064 EP - 1067 VL - 78 IS - 11 N2 - 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

LA - en SN - 0095-6562 UR - http://dx.doi.org/ ID - ref1 ER -