Ocular Findings in Japanese Patients with Varicella-Zoster Virus Infection
| Autor: | Shuichiro Yanagisawa, Miharu Mihara, Tetsuya Yamada, Yoriko Hayasaka, Seiji Hayasaka, Machi Yoshida, Nobuo Nakamura |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Herpesvirus 3 Human medicine.medical_specialty Adolescent genetic structures viruses Eye disease Visual Acuity Disease medicine.disease_cause Herpesviridae Keratitis chemistry.chemical_compound Age Distribution Chickenpox Japan medicine Humans Sex Distribution Child Aged Retrospective Studies Aged 80 and over integumentary system business.industry Varicella zoster virus virus diseases Retinal Necrosis Syndrome Acute Retinal General Medicine Middle Aged medicine.disease Dermatology eye diseases Sensory Systems Surgery Ophthalmology chemistry Herpes Zoster Ophthalmicus Child Preschool DNA Viral Female Acute retinal necrosis business |
| Zdroj: | Ophthalmologica. 219:272-275 |
| ISSN: | 1423-0267 0030-3755 |
| DOI: | 10.1159/000086110 |
| Popis: | Purpose: To examine ocular findings in Japanese patients with varicella, herpes zoster ophthalmicus, and acute retinal necrosis. Methods: A retrospective study was conducted. Information on the ocular, cutaneous, systemic, and virologic findings on pediatric and adult patients was obtained from medical records. Results: A total of 77 (45 male and 32 female) patients were enrolled in the study: 4 children had varicella, 68 adults had herpes zoster ophthalmicus, and 5 adults had acute retinal necrosis. Children with varicella had eruptions on the eyelid. Patients with herpes zoster ophthalmicus had eruptions, conjunctivitis, keratitis, iridocyclitis, and other findings. Patients with acute retinal necrosis had intracameral cells and retinal lesions. Some patients with herpes zoster ophthalmicus had malignancy, type 2 diabetes mellitus, or other disease. One pregnant woman developed acute retinal necrosis shortly after varicella infection. A total of 48% of patients with negative Hutchinson sign had ocular lesions, while all patients with positive sign showed ocular lesions. Patients with varicella and herpes zoster ophthalmicus had good visual acuity at the last visit. Some patients with acute retinal necrosis had poor visual acuity at the last visit. Conclusions: Patients with varicella, herpes zoster ophthalmicus, and acute retinal necrosis had several ocular complications. Some patients with acute retinal necrosis had poor visual outcomes. Ophthalmologists should be aware that acute retinal necrosis may develop shortly after varicella infection. |
| Databáze: | OpenAIRE |
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