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Letter to the Editor
Acute retinal necrosis following chickenpox in a healthy 4 year old patient
  1. W H LEE,
  2. S J CHARLES
  1. Vitreo-Retinal Service, Royal Eye Hospital
  2. Oxford Road, Manchester M13 9WH
  1. Mr Weng H Lee whlee{at}appleonline.net

https://doi.org/10.1136/bjo.84.6.667a

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    Editor,—Originally described by Urayamaet al,1 acute retinal necrosis (ARN) is part of a continuous spectrum of necrotising herpetic retinopathies where the clinical expression is determined by the immune status of the host.2 3 We report a case of unilateral ARN complicated by retinal detachment following chickenpox. This is unusual in its severity and an extremely rare occurrence in this age group. To our knowledge, this patient represents the youngest case of chickenpox associated ARN.

    CASE REPORT

    A previously healthy 4 year old boy presented with total retinal detachment secondary to ARN of his left eye 6 weeks after an uncomplicated chickenpox infection. He was attending his local ophthalmologist soon after chickenpox, having been initially referred by an optometrist, where he was treated for anisometropic amblyopia. His visual acuity at that time was 6/18 right eye and 5/60 left eye, and no detachment was noted. However, 4 weeks later, visual acuity in his left …

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