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Peripheral retinal vasculitis in chickenpox: A case report

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A 22-year-old female presented to our clinic with blurring of vision and mild pain in the left eye for 2 days. She developed cutaneous papulovesicular eruptions over her forehead [Fig.… Click to show full abstract

A 22-year-old female presented to our clinic with blurring of vision and mild pain in the left eye for 2 days. She developed cutaneous papulovesicular eruptions over her forehead [Fig. 1a] for the last 5 days. She consulted a dermatologist who confirmed a clinical diagnosis of chickenpox and started her on oral acyclovir 800 mg 5 times daily. Slit-lamp examination of the left eye showed diffuse keratic precipitates, cells 1+, and flare 1+ in the anterior chamber with a clear lens and a quite anterior vitreous. Dilated fundus examination of both eyes was unremarkable at that time. At 1-week follow-up with topical steroid and cycloplegics, fundus examination of the left eye revealed mild vitritis, a normal disc and active vasculitis of retinal vessels in the extreme periphery, [Fig. 1b] which was confirmed by fluorescein angiography (FA) of the left eye [Fig. 1c]. After 6 weeks, the fundus examination showed resolving retinal vasculitis with no evidence of any retinal lesion. At the 3-month visit, there was complete resolution of vasculitis, which was again confirmed with the help of a repeat FA, and antiviral treatment was stopped. She is under follow-up with us for the last 1 year and we did not observe any intraocular inflammation till date.

Keywords: examination; retinal vasculitis; chickenpox; left eye; vasculitis

Journal Title: Indian Journal of Ophthalmology
Year Published: 2020

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