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Retinal Periphlebitis as Zoster Sine Herpete
Arch Ophthalmol. 2001;119:1550-1552.
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INTRODUCTION
Although infection with varicella-zoster virus (VZV) has been known to cause occlusive retinal arteritis leading to acute retinal necrosis1 in both immunocompetent and immunocompromised patients, retinal periphlebitis is a rare manifestation of varicella-zoster ophthalmicus. We examined 2 immunocompetent patients with unilateral retinal periphlebitis and iridocyclitis without cutaneous eruptions associated with positive VZV genomes in the aqueous fluid. One patient had a fundus appearance compatible with that of frosted branch angiitis, suggesting a possible correlation between one form of frosted branch angiitis and a VZV infection.
Report of Cases
Case 1
A healthy 20-year-old woman noticed conjunctival redness in her left eye. Visual acuity was 20/20 OD and 20/200 OS. Intraocular pressure was 15 mm Hg OD and 33 mm Hg OS. Slitlamp biomicroscopy revealed ciliary vasodilation, diffuse corneal stromal edema, and mutton fatlike corneal precipitates in the left eye. Inflammatory cells were also observed in the anterior chamber of the left eye. Fundus examination allowed . . . [Full Text of this Article] Case 2
Comment
Corresponding author: Mitsuru Nakazawa, MD, Department of Ophthalmology, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Japan (e-mail: mitsuru@cc.hirosaki-u.ac.jp).
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