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June 1994

Unifocal Choroiditis in Primary Varicella Zoster (Chickenpox)

Author Affiliations

Boston, Mass

Arch Ophthalmol. 1994;112(6):735-736. doi:10.1001/archopht.1994.01090180033011

A variety of chorioretinal lesions can occur in children and adults with primary (chickenpox) and secondary varicella-zoster virus (VZV) infections.1-3 To our knowledge, unifocal choroiditis previously has not been recognized to be among them. We describe herein an adult with primary VZV infection (chickenpox) in whom unilateral, unifocal choroiditis with an overlying serous retinal detachment developed.

Report of a Case.  A 29-year-old female physician presented 1 week after the onset of chicken-pox complaining of a blurriness in the inferotemporal visual field of the left eye of 3 days' duration. She denied both pain on eye movement and photophobia. Her current medications were oral acyclovir (400 mg five times a day) and hydroxyzine. Results of a routine ocular examination performed 3 weeks prior to presentation were normal with the exception of small areas of lattice degeneration in both eyes.On examination, visual acuity was 20/20 OU. Pupils were equal in