To the Editor.
—Infection with the human immunodeficiency virus (HIV) manifests itself in a spectrum of clinical findings, including viral retinitis. Cytomegalovirus is the most commonly described opportunistic infection in the retina. We present a case of varicella-zoster retinitis, confirmed with immunofluorescent studies, that occurred in a patient with an HIV infection.
Report of a Case.
—A 39-year-old homosexual man was seen at the ophthalmology clinic with a 1-month history of redness and decreased vision in the right eye. He had tested positive for HIV 4 months previously and had a history of oral candidiasis, intestinal giardiasis, and genital herpes simplex. The patient had been taking zidovudine for 1 month.In addition to a corneal epithelial dendrite and anterior chamber cell and flare, the patient had cutaneous vesicles consistent with herpes zoster ophthalmicus. The results of the fundus examination of both eyes were normal. The patient was treated with
Chambers RB, Derick RJ, Davidorf FH, Koletar SL, Dangel ME. Varicella-Zoster Retinitis in Human Immunodeficiency Virus Infection. Arch Ophthalmol. 1989;107(7):960-961. doi:10.1001/archopht.1989.01070020022014