This time-framed study describes the spectrum of ocular manifestations in patients
with dengue fever and the association between maculopathy with the stages of dengue
fever. This cross sectional prospective study involved 145 dengue inpatients recruited from
University Malaya Medical Centre. Observed parameters were stages of dengue infection,
abnormal fundus and types of maculopathy. Retinal abnormalities involved the peripheral
region in 3 patients (1.03%) and the macula in 13 patients (4.48%). The types of maculopathy
encountered were macular oedema 7 (53.8%), cystic appearance 4 (30.8%), macular
haemorrhage 1 (7.7%) and yellow spots 1(7.7%). Reduced distance VA, visual scotoma and
metamorphopsia and abnormal Amsler grid test correlated with maculopathy, p< 0.05.
Maculopathy correlated well with dengue with severe leakage (p= 0.025). Our study found
the prevalence of maculopathy in dengue infection to be 4.48% in UMMC. The significant
predictors of maculopathy were dengue with severe leakage, visual scotoma, metamorphopsia,
distance VA impairment and abnormal Amsler grid test.