A Patient Presenting with Bilateral Central Scotomas after Dengue Fever

We present a 33-year-old Eurasian female who was referred to the ophthalmology clinic for symptoms of gray patches over bilateral visual fields approximately 1 week after her onset of dengue fever (DF). Humphrey perimetry and Amsler grid testing revealed focal central scotomas in both eyes that corresponded to dark lesions on infrared fundus photographs. The use of infrared fundus photography to document the lesions of dengue maculopathy has been less frequently reported in contrast to other investigations, such as optical coherence tomography (OCT), fundal fluorescein angiography (FFA) and indocyanine green angiography (ICG). Our case represents part of a wide spectrum of ocular manifestations of dengue associated maculopathy and retinopathy, which should be on the minds of referring physicians and ophthalmologists in patients with visual symptoms after the onset of dengue fever.