Bilateral Ciliochoroidal Effusion with Secondary Angle Closure and Myopic Shift in Dengue Fever

Abstract

Purpose: To describe a case of bilateral ciliochoroidal effusion with secondary angle closure and myopic shift early in course of Dengue Fever.

Case description: A 36-year-old, female complaints of painless loss of vision few days after being diagnosed dengue fever. Her best corrected visual acuity is 6/6 with refractive correction of -3.00 DS and -2.75 DS in right and left eye respectively. On examination her anterior chambers are shallow with closed angles on anterior segment optical coherence tomography and high intraocular pressure. Fundus examination revealed macular striae with peripheral choroidal oedema suggestive of ciliochoroidal effusion with angle closure and acute myopic shift. Few days after starting on topical intraocular pressure lowering drugs, cycloplegics and topical steroid eye drops along with low dose systemic steroids her condition improved with resolution of choroidal effusion and return of vision to normal levels.

Discussion: This case report represents interesting patient who developed transient loss of vision due to accumulation of fluid in suprachoroidal space resulting in secondary angle closure and myopia after being diagnosed with dengue fever, for which one should have high index of suspicion to facilitate timely management.

Keywords: Angle closure; ciliochoroidal effusion; dengue fever; macular striae; myopic shift.