Dr.PRITAM MADHUKAR BAWANKAR, B20198
PURPOSE: To describe a rare case of stromal keratitis and an unusual occurrence simultaneous bilateral blindness following dengue fever in a young girl. METHODS: Retrospective case report. RESULT: A 25-year-old girl presented with sudden and severe bilateral loss of vision since 3 days. She had a history of dengue fever 2 weeks back. The vision in her both eyes was no perception of light. Right eye(RE) revealed total corneal melting and Left eye showed anterior uveitis with complicated cataract. Ultrasonography of both eyes was showing vitreous hemorrhage, total retinal detachment and choroidal effusions. Penetrating keratoplasty was planned in RE. The specimen was sent for histopathology examination which revealed stromal keratitis. The vision remained no perception of light in both the eyes. CONCLUSION: The onset of ophthalmic complications in our patient does not relate to low platelet count. Thus, a complex immune-mediated pathogenesis has been suggested for these manifestations.