Varicella zoster virus-associated Chorioretinitis

A case report

Joo Yeon Kim, Ji Hwan Lee, Christopher Seungkyu Lee, Sungchul Lee

Research output: Contribution to journalArticle

Abstract

Background: Chorioretinitis is an unusual form of varicella zoster virus (VZV)-associated uveitis, and no report has described VZV-associated chorioretinitis using serial optical coherence tomography (OCT) images obtained during the course of resolution. Case presentation: A 61-year-old woman presented with acute, unilateral vision loss in her right eye. Her visual acuity was count fingers in the right eye and 16/20 in the left eye, and she exhibited skin vesicles on her right forehead. Slit lamp biomicroscopy, funduscopy, OCT, and intraocular fluid analysis were performed. The right eye exhibited multiple inflammatory lesions at the posterior pole, macular edema, and disc swelling on the fundus examination. OCT revealed predominant involvement of the choroid and the retinal pigment epithelium (RPE). Intraocular fluid analysis showed positivity for VZV. The patient was admitted and treated with intravenous acyclovir. Additional oral prednisolone was used to reduce the inflammatory reaction. After 2 weeks of treatment with acyclovir, the lesion resolved, with undulation of the RPE. Her final visual acuity was 20/20. Conclusions: VZV-associated posterior uveitis may present as multifocal chorioretinitis. Intraocular fluid analysis is important to detect an infectious origin.

Original languageEnglish
Article number28
JournalBMC Ophthalmology
Volume18
Issue number1
DOIs
Publication statusPublished - 2018 Feb 5

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Chorioretinitis
Human Herpesvirus 3
Aqueous Humor
Optical Coherence Tomography
Acyclovir
Retinal Pigment Epithelium
Visual Acuity
Posterior Uveitis
Forehead
Macular Edema
Choroid
Uveitis
Prednisolone
Fingers
Skin

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

Kim, Joo Yeon ; Lee, Ji Hwan ; Lee, Christopher Seungkyu ; Lee, Sungchul. / Varicella zoster virus-associated Chorioretinitis : A case report. In: BMC Ophthalmology. 2018 ; Vol. 18, No. 1.
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Varicella zoster virus-associated Chorioretinitis : A case report. / Kim, Joo Yeon; Lee, Ji Hwan; Lee, Christopher Seungkyu; Lee, Sungchul.

In: BMC Ophthalmology, Vol. 18, No. 1, 28, 05.02.2018.

Research output: Contribution to journalArticle

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