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Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.81 no.1 São Paulo jan./fev. 2018 


Bilateral acute angle closure in a patient with dengue

Fechamento de ângulo agudo bilateral em paciente com dengue

Beuy Joob1 

Viroj Wiwanitkit2 

1Medical Academic Center, Bangkok, Thailand.

2Hainan Medical University, China.

Dear Editor, the article "Bilateral acute angle closure in a patient with dengue" is very interesting(1). Levaggi et al. mentioned, " This is the second reported case with this condition during dengue fever and the first to describe the characteristics of the angle [1]." This case is similar to a previous case reported by Pierre Filho Pde et al.(2). The condition is extremely rare and might be easily forgotten. Indeed, the present report by Levaggi et al. should not be considered the second case. Recently, Stewart et al. reported another case of bilateral panuveitis with elevated intraocular pressures in a patient with dengue(3). In addition, a report from India presented a pediatric patient with dengue who first presented with bilateral angle closure and further developed endophthalmitis(4). It is agreeable that acute angle closure in dengue is uncommon, but can exist and might result in serious complications. Nevertheless, the claim that the report by Levaggi et al. is the second case(1) is incorrect.

Funding: No specific financial support was available for this study.


1 Levaggi ND, Lucas AN, Barletta JA. Bilateral acute angle closure in a patient with dengue fever: a case report. Arq Bras Oftalmol. 2017;80(4):266-7. [ Links ]

2 Pierre Filho Pde T, Carvalho Filho JP, Pierre ET. Bilateral acute angle closure glaucoma in a patient with dengue fever: case report. Arq Bras Oftalmol. 2008;71(2):265-8. [ Links ]

3 Stewart KP, Tawakol JB, Khan T, Capriotti JA. Combination immunotherapy in the treatment of chronic bilateral panuveitis and uveitic glaucoma during acute dengue fever infection in the Caribbean. Int Med Case Rep J. 2015;8:151-3. [ Links ]

4 Saranappa SB, Sowbhagya HN. Panophthalmitis in dengue fever. Indian Pediatr. 2012;49(9):760. [ Links ]

Recebido: 09 de Outubro de 2017; Aceito: 25 de Outubro de 2017

Corresponding author: Beuy Joob. Email:

Disclosure of potential conflicts of interest: None of the authors have any potential conflict of interest to disclose.

Creative Commons License This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.