NYMC Faculty Publications
Acute Retinal Necrosis and Contralateral Cutaneous Eruption After the Shingles Vaccine
Author Type(s)
Faculty
DOI
10.1097/ICB.0000000000000729
Journal Title
Retinal Cases & Brief Reports
First Page
43
Last Page
44
Document Type
Case Report
Publication Date
1-2021
Department
Physical Therapy
Second Department
Ophthalmology
Abstract
PURPOSE: To the best of our knowledge, we present a rare case report describing an occurrence of acute retinal necrosis in an otherwise healthy individual who received the shingles vaccine.
METHODS: Observational case report.
PATIENT: A 63-year-old healthy and immunocompetent white man presented with change of vision in the left eye after blunt trauma. A diagnosis of corneal abrasion was made. During follow-up, a detailed history discovered a progressive deterioration in vision over the past few weeks. Three months before presentation, he had received the shingles vaccine (Zostavax); 1 month before presentation, he reported an episode of varicella skin eruption on the face.
RESULTS: On examination, the patient was found to have acute retinal necrosis with white satellite lesions in the fundus of the left eye. An anterior chamber paracentesis and polymerase chain reaction confirmed the diagnosis of varicella-zoster virus.
CONCLUSION: Varicella-zoster virus reactivation after shingles vaccination may predispose both immunocompetent and immunocompromised individuals to herpes-zoster ophthalmicus, leading to acute retinal necrosis.
Recommended Citation
Ali, A., Kirschenbaum, M., Sharma, S., & Wandel, T. L. (2021). Acute Retinal Necrosis and Contralateral Cutaneous Eruption After the Shingles Vaccine. Retinal Cases & Brief Reports, 15 (1), 43-44. https://doi.org/10.1097/ICB.0000000000000729