title: Ocular involvement associated with varicella in adults.
abstract: BACKGROUND
  Varicella is a common infectious disease primarily of childhood that is usually benign and self-limited. It is, however, increasingly seen in adults who are at a higher risk of severe infection. Ocular complications of varicella are relatively uncommon and have been rarely described in adults. We describe herein five adults who developed ocular involvement in association with primary varicella-zoster virus infection.
  
  
  RESULTS
  Ocular manifestations included acute anterior uveitis in four eyes, with associated stromal keratitis in one of them, epithelial ulcerative keratitis in the two eyes of one patient, and acute retinal necrosis in one eye. One patient with acute anterior uveitis was treated with topical steroids and cycloplegic agents. The four other patients received topical or systemic antiviral drugs, with subsequent resolution of acute ocular inflammatory disease.
  
  
  CONCLUSIONS
  The spectrum of chickenpox-associated ocular complications in adults is wide. Early diagnosis and appropriate management are mandatory to improve visual outcome.
authors.affiliation: Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia.
authors.forename: Salma
authors.initials: S
authors.lastname: Gargouri
authors.affiliation: Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia.
authors.forename: Sana
authors.initials: S
authors.lastname: Khochtali
authors.affiliation: Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia.
authors.forename: Sourour
authors.initials: S
authors.lastname: Zina
authors.affiliation: Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia.
authors.forename: Molka
authors.initials: M
authors.lastname: Khairallah
authors.affiliation: Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia.
authors.forename: Imen
authors.initials: I
authors.lastname: Zone-Abid
authors.affiliation: Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia.
authors.forename: Imen
authors.initials: I
authors.lastname: Kaibi
authors.affiliation: Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia.
authors.forename: Salim
authors.initials: S
authors.lastname: Ben Yahia
authors.affiliation: Department of Ophthalmology, Habib Bourguiba University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia.
authors.forename: Jamel
authors.initials: J
authors.lastname: Feki
authors.affiliation: Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia. moncef.khairallah@rns.tn.
authors.forename: Moncef
authors.initials: M
authors.lastname: Khairallah
keywords: Acute retinal necrosis; Keratitis; Uveitis; Varicella