Branch retinal arteriolar occlusion with chicken-pox.

Hugkulstone, Charles E.; Watt, Laure

doi:10.1136/bjo.72.1.78-a

Cited by 8 publications

(7 citation statements)

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“…Similar to our case, all of these case reports manifested after fi ve days of history of exanthema. VZV association with Branch retinal artery occlusion has also been reported by Hugkulstone CE et al 10 . In contrary to these cases, very recently a bilateral ophthalmic artery occlusion in association with VZV infection was described by Jayram H et al 11 .…”

Section: Similar Case Of Monocular Vision Loss Due To Craosupporting

confidence: 59%

Central Retinal Artery Occlusion Associated with Varicella dermatitis

Agarwal

Agrawal

Labh

et al. 2016

J. Nepal Paedtr. Soc.

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A 12 year girl presented with left eye (LE) loss of vision for four days. Fundus examination and fluorescence angiography revealed LE central retinal artery occlusion (CRAO). She had multiple rashes all over the body. IgM-Varicella antibody assay corresponded with varicella infection and she was diagnosed with CRAO associated with varicella dermatitis. 14. Ford FR. Diseases of the nervous system in infancy, childhood and adolescence. Springfi eld, Illinois: Thomas, 1966: 576-77. 15. Hatch HA. Bilateral optic neuritis following chickenpox. J Pediatr 1949; 34: 758-9. 16. Liioi JA, Aiello MV. Bilateral papilloedema with chickenpox. J Pediatr Ophthalmol Strabismus 1970; 7: 155. 17. Liesegang TJ. The varicella zoster virus. Systemic and ocular features. J Am Acad Dermatol 1984; 11:165. 18. Blue MC, Rosenblum WI. Granulomatous angiitis of the brain with herpes zoster and varicella encephalitis. Arch Pathol Lab Med 1983; 107:126. 19. Kuo YH, Yip Y, Chen SN. Retinal Vasculitis associated with Chickenpox. Am. J. Ophthalmol 2001;132(4):584-5. 20. Murdock J, Carvounis PE. Adult with chickenpox complicated by systemic vasculitis and bilateral retinal vasculitis with retinal vascular occlusions. Retin Cases Brief Rep 2016;0:1-5.

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Section: Similar Case Of Monocular Vision Loss Due To Craosupporting

confidence: 59%

Central Retinal Artery Occlusion Associated with Varicella dermatitis

Agarwal

Agrawal

Labh

et al. 2016

J. Nepal Paedtr. Soc.

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“…The age at which such ocular involvement may occur varies, with the reported mean age being 19.3 ± 18.7 years (range 5–69 years) [12 ▪ ,18 ▪ ,19–26]. Most cases have described patients being in prior good health, though one report deal with a patient with breast cancer and end stage renal disease caused by systemic lupus erythematous (SLE) [18 ▪ ].…”

Section: Ocular Manifestation and Diagnosismentioning

confidence: 99%

“…Most cases have described patients being in prior good health, though one report deal with a patient with breast cancer and end stage renal disease caused by systemic lupus erythematous (SLE) [18 ▪ ]. Most cases had a prior history of chicken pox [12 ▪ ,19,20,24–27], though in one patient without such a history, the vitreous fluid was positive by PCR for VZV [21].…”

Section: Ocular Manifestation and Diagnosismentioning

confidence: 99%

“…VZV retinal vasculopathy has been observed between 3 days to 3 months after the onset of varicella rash [12 ▪ ,18 ▪ ,19,20,24–26] or between 5 days and 14 days after the onset of zoster dermatitis [12 ▪ ,18 ▪ ,22]. One case had a forehead zoster rash concurrent with encephalitis and cerebellitis [12 ▪ ].…”

Section: Ocular Manifestation and Diagnosismentioning

confidence: 99%

“…Most patients complained of a sudden painless monocular vision loss [12 ▪ ,19,22,26], though a 6-year-old boy with binocular involvement has been described [20]. Occasionally, there can be transient diminution of vision [19], poorly characterized visual disturbances [18 ▪ ], and rarely, visual field loss [24].…”

Section: Ocular Manifestation and Diagnosismentioning

confidence: 99%

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Retinal vasculopathy following varicella zoster virus infection

Sutra

Pokawattana

2022

Current Opinion in Ophthalmology

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Purpose of reviewVaricella zoster virus (VZV) ocular infection can manifest purely as a vasculopathy that leads to retinal arteriole occlusion, without any retinitis or vasculitis. This review summarizes our current knowledge of such VZV ocular infection phenotype, incorporating initial descriptions from 1988. We describe the pathogenesis and VZV's manifestations in the retina using fundus photography, fundus fluorescein angiography, optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA). Laboratory investigations, diagnostic procedures, prognoses, and treatment options are also being reviewed.Recent findingsTen case reports where VZV retinal vasculopathy was the primary feature observed after varicella or zoster rash are described. The retinal arteriole, cilioretinal artery, branches of retinal artery, central retinal artery and ophthalmic artery were found to be areas of more rarely affected, neither in the form of vasculitis nor retinitis. Diagnosis is typically made from positive polymerase chain reaction (PCR) for VZV from extracted intraocular fluid or positive serum or cerebrospinal fluid (CSF) anti-VZV immunoglobulin G antibody in the context of compatible ocular findings. In addition, retinal vasculopathy occurring in the setting of confirmed varicella or zoster rashes could be considered potentially pathognomonic. Pathological concepts, including direct VZV infection of affected tissue, persistent inflammation, and/or virus-induced hypercoagulability are also discussed.SummaryVZV may produce a wide spectrum of ocular manifestations with isolated VZV retinal vasculopathy being a rarer presentation. A prompt diagnosis followed by an early treatment of systemic acyclovir with or without corticosteroids is the mainstay of treatment.

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