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Chickenpox chorioretinitis with retinal exudates and periphlebitis
Hirokuni Kitamei1, Kenichi Namba, Nobuyoshi Kitaichi
1Departments of Ophthalmology and Health Sciences University of Hokkaido, Sapporo, Japan.
Case Reports in Ophthalmology
|June 29, 2012
Summary
Chickenpox can cause posterior segment eye inflammation, specifically unilateral chorioretinitis. This case highlights distinct features differentiating it from acute retinal necrosis (ARN).
Area of Science:
- Ophthalmology
- Infectious Diseases
- Virology
Background:
- Posterior segment inflammation is a rare complication of chickenpox.
- Chickenpox chorioretinitis can present with retinal exudates and periphlebitis.
Observation:
- A case of unilateral chickenpox chorioretinitis in a 21-year-old male.
- Ocular findings included anterior chamber cells, vitreous opacity, retinal vein sheathing, and exudates.
- Varicella zoster virus DNA was detected in aqueous humor.
Findings:
- Treatment with intravenous acyclovir, oral prednisolone, and valaciclovir led to rapid resolution of ocular inflammation.
- Retinal exudates diminished within one month, leaving minimal scarring.
- Absence of retinal arteritis and mild anterior chamber inflammation distinguished this case from acute retinal necrosis (ARN).
Implications:
- Chickenpox chorioretinitis may represent a distinct pathological entity from ARN.
- Prompt diagnosis and treatment are crucial for managing ocular complications of varicella zoster virus infections.
- This case expands the understanding of posterior segment manifestations of chickenpox.
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