|Year : 1974 | Volume
| Issue : 1 | Page : 36-37
Herpes zoster ophthalmicus and varicella
DL Maria, RG Kulkarni
Department of Ophthalmology, Medical College, Aurangabad, India
D L Maria
Department of Ophthalmology, Medical College, Aurangabad
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Maria D L, Kulkarni R G. Herpes zoster ophthalmicus and varicella. Indian J Ophthalmol 1974;22:36-7
Although varicella and herpes zoster are discrete diseases they are caused by the same virus which affects children and adults respectively. Chicken pox can be transferred by contact with a ruptured vesicle of herpes zoster. Rarely zosteriform concentration of vesicular lesion occurs in the patients with varicella. The virus in both cases can be grown in human embryo tissue culture or human thyroid tissue culture  . Patients of herpes zoster are said to have suffered from varicella in childhood but the occurrence of these two conditions in the same individual is very rare. Few cases have been reported wherein varicella appeared in cases of herpes zoster ,.
Two cases are being reported where in one the vericella rash appeared in a case of herpes zoster while in the other herpes zoster appeared in a case of varicella.
| Case Reports|| |
Case I-A forty years old male patient having typical herpes zoster ophthalmicus on the right side was referred by the local military hospital where he was being treated for the last five days. There was oedema of the lids, chemosis and fluorescein staining of the cornea was positive. The patient had neuralgia and photophobia.
The patient was put on local atropine and cortisone with antibiotic drops. Systemically corticosteroids and Vitamin Bi and 1312 were given. For pain Novalgin was given when required. Furacin skin ointment was applied locally to vesicles. On the 7th day from the onset of the disease, patient got typical rash of varicella in all stages on the trunk and limbs.
Case II-A 35 years old Hindu male was admitted with typical right sided herpes zoster with varicella marks on the trunk and limbs. Patient suffered from an attack of varicella, three weeks before admission to the hospital. Two weeks later patient got an attack of herpes zoster. There was oedema of lids, congestion of the conjunctiva and positive staining of the cornea [Figure - 1],[Figure - 2].
Patient was put on the same treatment as mentioned in the first case.
| Summary|| |
Two cases of herpes zoster ophthalmicus and varicella affecting the same individuals at the same time have been reported. In one case varicella followed the herpes zoster while in the other preceded herpes zoster.
| References|| |
Duke Elder, S., 1965, System of Ophthalmology.
VIII, 340 Henry Kimpton, London.
Malik, S.R.K. and Bansal, ILK., 1973, Ind. J. Ophthal., 21,
[Figure - 1], [Figure - 2]