Table 1 Clinical features, treatment modalities, and outcome in adults with chickenpox-associated ocular complications
From: Ocular involvement associated with varicella in adults
Case | Gender/age (years) | Past medical history | Time from skin eruption to ocular symptoms (weeks) | Affected eye | Initial visual acuity (VA) | Ocular findings | Treatment | Evolution | Follow-up (months) |
|---|---|---|---|---|---|---|---|---|---|
Case 1 | Male/39 | Kidney transplantation 5Â years earlier | 3 | OU | 20/200 (RE) 20/25 (LE) | Kerato-uveitis (RE) Acute anterior uveitis(LE) | Topical acyclovir Topical dexamethasone Atropine 1% | Resolution and then recurrence of uveitis with granulomatous precipitates, patchy iris atrophy and distorted pupil. Final VA 20/25 OU. | 24 |
Case 2 | Male/42 | Unremarkable | 3 | LE | 20/20 (RE) 20/25 (LE) | Acute anterior uveitis | Topical acyclovir Topical dexamethasone Atropine 1% | Resolution of uveitis Final VA 20/20 (LE) | 24 |
Case 3 | Male/33 | Unremarkable | 3 | LE | 20/20 (RE) 20/30 (LE) | Acute anterior uveitis | Topical dexamethasone Atropine 1% | Resolution of uveitis Final VA 20/20 (LE) | 12 |
Case 4 | Female/40 | Unremarkable | 1 | OU | Count fingers (RE) 20/200 (LE) | Geographic keratitis | Intravenous acyclovir and oral steroid | Resolution/Recurrence of keratitis with peripheral corneal scars Final VA 20/25 OU | 18 |
Case 5 | Male/35 | Unremarkable | 3 | RE | 20/40 (RE) 20/20 (LE) | Acute retinal necrosis | Intravenous acyclovir, intravitreal ganciclovir, and oral steroids | Resolution of inflammation Scarring in the peripheral retina Final VA 20/20 (RE) | 18 |