Abstract

HERNANDEZ BAGUER, Raisa; TRIANA CASADO, Idalia; BELTRAN SAINZ, Raisa Ivis  and  GARCIA TAMAYO, Roxana. Vitreous hemorrhage as a cause of vision loss in a patient with dengue. Medisur [online]. 2020, vol.18, n.1, pp. 126-129.  Epub Feb 02, 2020. ISSN 1727-897X.

Vitreous hemorrhage secondary to a complete persistent hyaloid artery is an uncommon anomaly. The case of a 65-year-old woman with a known personal history of this congenital anomaly in the right eye is presented, who had a sudden decrease in vision of that eye, ten days after presenting an acute febrile condition with a diagnosis of dengue. Posterior biomicroscopy revealed a persistent hyaloid artery filled with blood with insertion into the lens posterior portion or hyaloid fossa. In indirect funduscopy a partial vitreous hemorrhage was observed, which allowed visualizing the structures of the retina. Ocular ultrasound and retinophoto were performed as diagnostic and follow-up tests. The vitreous hemorrhage was completely reabsorbed at 15 days and the patient recovered her vision at 0.5 due to the presence of an ongoing cataract. There was no recurrence of bleeding in six months’ follow-up.

Keywords : persistent hyperplastic primary vitreous; vitreous hemorrhage; visually impaired persons; dengue.

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