Dengue Fever Presenting as Purtscher-like Retinopathy

Luiz H. Lima, Silvana Vianello, Sérgio Pimentel, Gabriel Costa de Andrade, Claudio Zett, Léo Muller, Michel E. Farah, Rubens Belfort

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Purpose: To report the fundus manifestations and spectral-domain optical coherence tomographic (SD-OCT) features of dengue fever presenting as Purtscher-like retinopathy. Methods: Retrospective review of two cases of dengue fever. Results: Color fundus photograph revealed the presence of cotton-wool spots in a Purtscher-like configuration in the posterior pole of all study eyes. SD-OCT demonstrated increased reflectivity signal in the inner retinal layers, and after a variable follow-up period, there was complete disappearance of cotton-wool spots and persistence of the hyperreflectivity signal. Conclusion: We report two unique cases of dengue fever associated with retinal lesions in a configuration of Purtscher-like retinopathy.

Original languageEnglish
Pages (from-to)660-665
Number of pages6
JournalOcular Immunology and Inflammation
Issue number5
StatePublished - 4 Jul 2018
Externally publishedYes


  • Cotton–wool spots
  • Purtscher-like retinopathy
  • dengue fever
  • retinal hemorrhages
  • spectral-domain optical coherence tomography


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