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Rikke Tetzschner1, Sasikala Thineshkumar1, Laleh Molander1

  • 1Øjenafdeling E, Odense Universitetshospital.

Ugeskrift for Laeger
|November 29, 2023
PubMed
Summary
This summary is machine-generated.

Varicella-zoster virus (VZV) infection can cause rare complications like unilateral anterior uveitis and tonic pupil in children. Prompt ophthalmological examination is crucial for VZV-related eye conditions.

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Area of Science:

  • Ophthalmology
  • Virology
  • Pediatrics

Background:

  • Varicella-zoster virus (VZV) is a common viral infection.
  • Ocular manifestations of VZV can occur, but are less common in children.
  • Unilateral anterior uveitis and tonic pupil are specific ocular conditions.

Observation:

  • A 3-year-old boy presented with symptoms of red, irritated eyes, and photophobia.
  • Ophthalmological examination revealed unilateral anterior uveitis and a tonic pupil.
  • The patient experienced reduced vision and impaired accommodation.

Findings:

  • Cerebral MRI results were normal, ruling out central nervous system involvement.
  • The patient was treated with photophobia glasses and hyperopia correction.
  • A diagnosis of tonic pupil secondary to VZV infection was established.

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Implications:

  • Tonic pupil following VZV infection is a rare pediatric complication.
  • Early and thorough ophthalmological evaluation is essential for VZV-infected children with eye symptoms.
  • Timely diagnosis and management can mitigate potential long-term visual consequences.