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Ischemic retinal vasculitis in an 18-year-old man with chickenpox infection

Authors Poonyathalang A, Sukavatcharin S, Sujirakul T

Received 25 October 2013

Accepted for publication 18 December 2013

Published 24 February 2014 Volume 2014:8 Pages 441—443

DOI https://doi.org/10.2147/OPTH.S56561

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3


Anuchit Poonyathalang, Somsiri Sukavatcharin, Tharikarn Sujirakul

Department of Ophthalmology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Abstract: Ocular involvement after primary infection with varicella zoster virus is very rare. We report a case of a healthy 18-year-old man who presented with unilateral ischemic retinal vasculitis 10 days after the onset of chickenpox. He developed acute severe visual loss and a relative afferent pupillary defect in his right eye. Fundus imaging, optical coherence tomography, fundus fluorescence angiography, and electrophysiologic studies confirmed the diagnosis of retinal vasculitis, which led to generalized retinal ischemia. Although aggressive treatment with systemic steroids and antiviral drugs was administered, a poor visual outcome still resulted.

Keywords: ischemic retinal vasculitis, chickenpox, varicella zoster virus

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