Combined central retinal artery and vein occlusion with optic perineuritis following herpes zoster dermatitis in an immunocompetent child

Indian J Ophthalmol. 2017 Nov;65(11):1233-1235. doi: 10.4103/ijo.IJO_480_17.

Abstract

A 15-year-old healthy boy developed acute, rapidly progressing visual loss in left eye following herpes zoster dermatitis, with a combined central retinal artery occlusion (CRAO) and central retinal vein occlusion (CRVO), along with optic perineuritis. Laboratory tests were negative. Despite an empirical, intensive antiviral treatment with systemic corticosteroids, and vision could not be restored in the affected eye. Herpes zoster dermatitis, in an immunocompetent individual, may be associated with a combined CRAO and CRVO along with optic perineuritis, leading to profound visual loss.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Antiviral Agents / therapeutic use
  • Aqueous Humor / virology
  • Blindness / diagnosis*
  • Blindness / drug therapy
  • Blindness / virology
  • Dermatitis / diagnosis*
  • Dermatitis / drug therapy
  • Dermatitis / virology
  • Eye Infections, Viral / diagnosis*
  • Eye Infections, Viral / drug therapy
  • Eye Infections, Viral / virology
  • Herpes Zoster / diagnosis*
  • Herpes Zoster / drug therapy
  • Herpes Zoster / virology
  • Herpesvirus 3, Human / isolation & purification
  • Humans
  • Immunocompetence
  • Magnetic Resonance Imaging
  • Male
  • Optic Neuritis / diagnosis*
  • Optic Neuritis / drug therapy
  • Optic Neuritis / virology
  • Polymerase Chain Reaction
  • Retinal Artery Occlusion / diagnosis*
  • Retinal Artery Occlusion / drug therapy
  • Retinal Artery Occlusion / virology
  • Retinal Vein Occlusion / diagnosis*
  • Retinal Vein Occlusion / drug therapy
  • Retinal Vein Occlusion / virology

Substances

  • Antiviral Agents