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Archivos de la Sociedad Española de Oftalmología (English Edition) About 3 cases of post-acute retinopathy of chikungunya fever
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Vol. 95. Issue 8.
Pages 365-416 (August 2020)
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Vol. 95. Issue 8.
Pages 365-416 (August 2020)
Short communication

About 3 cases of post-acute retinopathy of chikungunya fever

A propósito de 3 casos con retinopatía posterior a fase aguda de fiebre por chikungunya
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M.A. Carrillo-Soto
Corresponding author
macsoftalmo@gmail.com

Corresponding author.
, A.S. Montoya-Valladares
Clínica de retinovascular, Instituto de Ciencias de la Visión del Comité pro-Ciegos y Sordos de Guatemala, Hospital de ojos y oídos Dr. Rodolfo Robles Valverde, Guatemala, Guatemala
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Abstract

A descriptive study is presented on a case series of 3 patients, with IgM an IgG serology diagnosis of Chikungunya in whom other metabolic, autoimmune and infectious diseases were ruled out. They presented with other ocular manifestations with vascular changes and inflammatory characteristics. They were treated at the Retinovascular and Retinal and Vitreous clinics at the “Dr. Rodolfo Robles Valverde Hospital” and “Benemérito Comité Pro-ciegos y Sordos” in Guatemala City during 2019.

Guatemala is a country with a high prevalence of vector-borne diseases, including chikungunya. In recent years cases of this disease has increased in recent years, and complications are currently seen more frequently. Within these complications, there have been reports of cases of optic neuritis, iridocyclitis, episcleritis, retinitis, uveitis, and blood dyscrasia that can affect the retina. It is important to consider these as an important differential diagnosis of ocular vascular alterations.

Keywords:
Chikungunya
Choroiditis
Uveitis
Vasculitis
Neuroretinitis
Venous occlusions
Haemovitreous
Resumen

Este es un estudio descriptivo de serie de casos de 3 pacientes con consentimiento informado con diagnóstico por serología IgM e IgG de chikungunya y en quienes se descartaron otras enfermedades metabólicas autoinmunes e infecciosas que presentaron manifestaciones oculares con alteraciones vasculares y características inflamatorias. Fueron atendidos en las clínicas de Retinovascular y Retina y Vitreo del Hospital “Dr. Rodolfo Robles Valverde”, del Benemérito Comité Pro-Ciegos y Sordos de la ciudad de Guatemala en el transcurso del año 2019.

Guatemala es un país con una alta prevalencia de enfermedades transmitidas por vectores, dentro de las cuales se encuentra la chikungunya.1,2 La cual presenta aumento en la incidencia los últimos años. Dentro de las complicaciones oculares se han reportado casos de Neuritis óptica, iridociclitis, epiescleritis, retinitis y uveítis; además de discrasias sanguíneas que pueden afectar la retina.3 Es importante considerarlos como un diagnóstico diferencial importante de alteraciones vasculares oculares.

Palabras clave:
Chikungunya
Coroiditis
Uveítis
Vasculitis
Neurorretinitis
Obstrucciones venosas
Hemovítreo

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References
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