Conjunctival Lesions Secondary to Systemic Varicella Zoster Virus Infection

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc..

Purpose: To report and present images of a case in which discrete conjunctival lesions developed in the setting of primary varicella zoster virus infection (ie, chickenpox).

Methods: Case report and literature review.

Results: This report describes a young, unvaccinated male who developed an acutely painful, red eye in the setting of disseminated primary varicella zoster infection. The cutaneous rash was widespread and included lesions on both eyelids. The patient was found to have multiple discrete de-epithelialized lesions involving the palpebral and bulbar conjunctiva. Throughout the disease course, good visual function was maintained and there was no evidence of intraocular involvement. The ocular surface lesions resolved without sequelae after 1 week of treatment with topical antibiotic ointment.

Conclusions: Primary varicella zoster infection is an increasingly rare phenomenon in the setting of widespread vaccination. However, unvaccinated or undervaccinated individuals and other at-risk populations remain susceptible to developing severe infections. This case of chickenpox involved discrete conjunctival lesions that resolved without sequelae after conservative treatment with topical antibiotic ointment. While serious ophthalmic complications are uncommon in primary varicella infection, clinicians should be aware of the potential for ocular morbidity in this increasingly rare condition.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:2

Enthalten in:

Cornea open - 2(2023), 4 vom: 14. Dez., Seite e0022

Sprache:

Englisch

Beteiligte Personen:

Grassmeyer, Justin J [VerfasserIn]
Bellsmith, Kellyn N [VerfasserIn]
Bradee, Allison R [VerfasserIn]
Pegany, Roma B [VerfasserIn]
Redd, Travis K [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Conjunctivitis
Ocular surface disease
Varicella

Anmerkungen:

Date Revised 10.02.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1097/coa.0000000000000022

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363606467