TWO CASES OF ACUTE RETINAL NECROSIS DUE TO VARICELLA ZOSTER DESPITE PRIOR SHINGLES VACCINATION.

Retin Cases Brief Rep

Department of Ophthalmology and Visual Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.

Published: June 2019

Purpose: To review two cases of acute retinal necrosis in adults due to varicella zoster virus despite prior shingles vaccination.

Methods: Retrospective chart review.

Patients: A 62-year-old man and a 64-year-old man with unilateral acute retinal necrosis who had shingles vaccinations 16 and 7 months before their ocular symptoms.

Results: Polymerase chain reaction confirmation of varicella zoster virus in the anterior chambers of both patients. Both patients had good responses to oral antiviral therapy and topical and/or oral steroids.

Discussion: These two cases demonstrate that singles vaccination is not an absolute protection against varicella zoster virus-related acute retinal necrosis. However, such vaccination may reduce the severity of the acute retinal necrosis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597443PMC
http://dx.doi.org/10.1097/ICB.0000000000000567DOI Listing

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