[Multifocal choroiditis associated with herpes zoster ophthalmicus. Apropos of a case].
We describe a patient with multifocal choroidal lesions affecting the midperipheral fundus, with an atrophic and scattered punched-out pale aspect. Lesions were discovered seven months after an ipsilateral herpes zoster ophthalmicus. Fluorescein angiography findings exhibited a delay of choroidal injection and late moderate staining during the venous phase. The etiological arguments refer to a previous herpes zoster infection. The pathogeny would involve an occlusion of posterior ciliary arteries, lesions of posterior ciliary nerves and/or direct cytopathogenic involvement of chorioretina by neurotropic virus from ciliary ganglion.
Chiquet
C
C
Service d'Ophtalmologie, Lyon.
Germain
P
P
Burillon
C
C
Coudry-Vergne
D
D
Perez
M
M
Paupert-Ravault
M
M
Denis
P
P
D000293:Adolescent; D002833:Choroiditis / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006563:Herpes Zoster Ophthalmicus / Q000150:complications* / Q000503:physiopathology; D006801:Humans