Multiple Serous Chorioretinopathy after Facial Herpes Zoster

Sang Yoon Hyun; Dong Yoon Kim; Ju Byung Chae

doi:10.3341/jkos.2016.57.1.150

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Hyun, Kim, and Chae: Multiple Serous Chorioretinopathy after Facial Herpes Zoster

Original Article

J Korean Ophthalmol Soc 2016;57(1):150-154.

Published online: 31 August 2016

DOI: https://doi.org/10.3341/jkos.2016.57.1.150

Multiple Serous Chorioretinopathy after Facial Herpes Zoster

Sang Yoon Hyun, M.D, Dong Yoon Kim, M.D, PhD, Ju Byung Chae, M.D, PhD

Department of Ophthalmology, Chungbuk National University College of Medicine, Cheongju, Korea

Address reprint requests to Ju Byung Chae, MD, PhD Department of Ophthalmology, Chungbuk National University Hospital, #776 1sunhwan-ro, Seowon-gu, Cheongju 28644, Korea Tel: 82-43-269-6333, Fax: 82-43-269-5263 E-mail: cjbmed@naver.com

This work was supported by the research grant of Chungbuk National University in 2014.

Received 24 April 201518 June 2015 Accepted 25 September 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose:

To report a case of multiple serous chorioretinopathy after facial herpes zoster.

Case summary

A 48-year-old male visited our clinic due to visual disturbance in the left eye which occurred 3 days after left fa-cial pain and vesicles. Chemosis and multiple serous retinal detachments were found. The patient was diagnosed with multiple serous chorioretinopathy due to herpes zoster virus and was started on intravenous acyclovir at a dose of 10 mg/kg every 8 hours for 9 days and herpes eye ointment 5 times daily. After the initial treatment, oral prednisolone 60 mg was given daily for 6 days. Skin lesions were cleared, and abnormal fundus and visual acuity improved after treatment.

Conclusions

Ophthalmopathy including multiple serous chorioretinopathy should be considered in managing herpes zoster ophthalmicus patients.

Keywords: Chorioretinopathy, Herpes zoster ophthalmicus, Serous retinal detachment

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Figure 1.

Face photos showing facial herpes zoster. (A) Skin eruption corresponding to the dermatome of left ophthalmic branch of trigeminal nerve is observed. Nasal lesion shows Hutchinson's sign. (B) Oral mucosal erosion and pseudomembrane are observed at left upper soft plate.

Figure 2.

Fundus photography, fluorescein angiography and optical coherence tomography showing multiple chorioretinopathy. (A) Multiple localized retinal detachments with subretinal fluid were found in macular and superior macular area. (B) Fluorescein an-giography shows multiple hyperfluorescent leaking points with localized serous detachment (arrowheads) between optic disc and macular area. (C) After treatment (two months later), fluorescein angiography shows no hyperfluorescence. (D) Multiple subretinal fluid and increased choroidal thickness were found. (E) After treatment, superior subretinal fluid moves downward to fovea. (F) After 1 month, subretinal fluid decreased. (G) After 2 months, subretinal fluid disappeared and there was no retinochoroidal inflammation.

Figure 3.

Anatomy of Ophthalmic branch in trigeminal nerve. Long posterior ciliary nerve and short posterior ciliary nerve cover posterior scleral area in the orbit.

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