IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-6-19561 Original Research Paper CORRELATION BETWEEN OCULAR MANIFESTATIONS AND PLATELET COUNT IN DENGUE FEVER PADMAJOTHI M. S Dr. Dr. M. MADHUMITA Dr. June 2019 8 6 01 02 ABSTRACT

Purpose: To evaluate the presence or absence of ocular manifestations in serologically established cases of dengue fever & to correlate the platelet count with the severity of ocular complications in serologically established cases of dengue. Methods: A Case series of 40 patients were involved in this study. Data were collected from patients admitted with diagnosis of Dengue fever eye, confirmed by serological tests (IgM and IgG ELISA) in in–patients irrespective of presence or absence of eye manifestations in our hospital. After taking informed consent, demographic details and detailed history were taken and Ophthalmic examination which included visual assessment (either bedside or by Snellens chart in ambulatory patients), anterior segment examination and posterior segment examination by direct and indirect ophthalmoscope and 90D lens. Platelet count at the time of examination was documented. Results: 40 cases were serologically positive (IgM and IgG ELISA) for dengue. 33 cases had thrombocytopenia (82.5%). 25 cases had ocular manifestations, out of which 19 cases had petechial subconjunctival haemorrhage and 6 cases had dot blot haemorrhages in the retina. Patients who had subconjunctival haemorrhage had platelet count ranging between 30,000– 50,000 cells/ microlitre and patients with dot and lot haemorrhages in retina had platelet counts ranging between 20,000 – 25,000 cells/microlitre. Conclusion: A relevant ophthalmological evaluation must be stressed in every patient afflicted with dengue fever in order to detect these complications at the right time and to prevent any residual impairment of vision.