Pole-to-pole involvement of varicella zoster virus reactivation following COVID-19 vaccination

The aim of this study is to report the clinical features, imaging findings including confocal imaging, corneal nerve fiber analysis, and management outcomes in a series of three cases of varicella zoster virus (VZV) reactivation following one dose of coronavirus disease 2019 (COVID-19) vaccination....

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Main Authors: Padmamalini Mahendradas, Yash Parmar, Sai Bhakti Mishra, Aditya Patil, Ankush Kawali, Srinivasan Sanjay, Bhujang Shetty
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2001;epage=2007;aulast=Mahendradas
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author Padmamalini Mahendradas
Yash Parmar
Sai Bhakti Mishra
Aditya Patil
Ankush Kawali
Srinivasan Sanjay
Bhujang Shetty
author_facet Padmamalini Mahendradas
Yash Parmar
Sai Bhakti Mishra
Aditya Patil
Ankush Kawali
Srinivasan Sanjay
Bhujang Shetty
author_sort Padmamalini Mahendradas
collection DOAJ
description The aim of this study is to report the clinical features, imaging findings including confocal imaging, corneal nerve fiber analysis, and management outcomes in a series of three cases of varicella zoster virus (VZV) reactivation following one dose of coronavirus disease 2019 (COVID-19) vaccination. This was a retrospective and observational study. All the patients who developed uveitis post-vaccination were pooled together. Patients who had VZV reactivation were included. Two cases had polymerase chain reaction positive for VZV from aqueous humor. At the time of presentation, IgG and IgM spike protein antibodies for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) were tested. Out of this pool, three patients with classical features to describe pole-to-pole manifestations were chosen. A 36-year-old lady with post-vaccination sclerokeratouveitis associated with reactivation of herpes zoster ophthalmicus, a 56-year-old lady with post-vaccination acute anterior uveitis associated with herpes zoster ophthalmicus, and a 43-year-old gentleman with post-vaccination acute retinal necrosis were included. We present a possible link between anti-SARS-CoV-2 virus vaccination and varicella zoster reactivation in these patients and also describe the clinical features, imaging findings including confocal imaging, corneal nerve fiber analysis, and management with detailed discussion.
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spelling doaj.art-23ed96e7a2f94b1c88c559232a7d439d2023-07-21T15:14:09ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017152001200710.4103/IJO.IJO_2942_22Pole-to-pole involvement of varicella zoster virus reactivation following COVID-19 vaccinationPadmamalini MahendradasYash ParmarSai Bhakti MishraAditya PatilAnkush KawaliSrinivasan SanjayBhujang ShettyThe aim of this study is to report the clinical features, imaging findings including confocal imaging, corneal nerve fiber analysis, and management outcomes in a series of three cases of varicella zoster virus (VZV) reactivation following one dose of coronavirus disease 2019 (COVID-19) vaccination. This was a retrospective and observational study. All the patients who developed uveitis post-vaccination were pooled together. Patients who had VZV reactivation were included. Two cases had polymerase chain reaction positive for VZV from aqueous humor. At the time of presentation, IgG and IgM spike protein antibodies for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) were tested. Out of this pool, three patients with classical features to describe pole-to-pole manifestations were chosen. A 36-year-old lady with post-vaccination sclerokeratouveitis associated with reactivation of herpes zoster ophthalmicus, a 56-year-old lady with post-vaccination acute anterior uveitis associated with herpes zoster ophthalmicus, and a 43-year-old gentleman with post-vaccination acute retinal necrosis were included. We present a possible link between anti-SARS-CoV-2 virus vaccination and varicella zoster reactivation in these patients and also describe the clinical features, imaging findings including confocal imaging, corneal nerve fiber analysis, and management with detailed discussion.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2001;epage=2007;aulast=Mahendradascorneal nerve fiber analysiscovid-19herpes zostervaccinationvaricella zoster virus
spellingShingle Padmamalini Mahendradas
Yash Parmar
Sai Bhakti Mishra
Aditya Patil
Ankush Kawali
Srinivasan Sanjay
Bhujang Shetty
Pole-to-pole involvement of varicella zoster virus reactivation following COVID-19 vaccination
Indian Journal of Ophthalmology
corneal nerve fiber analysis
covid-19
herpes zoster
vaccination
varicella zoster virus
title Pole-to-pole involvement of varicella zoster virus reactivation following COVID-19 vaccination
title_full Pole-to-pole involvement of varicella zoster virus reactivation following COVID-19 vaccination
title_fullStr Pole-to-pole involvement of varicella zoster virus reactivation following COVID-19 vaccination
title_full_unstemmed Pole-to-pole involvement of varicella zoster virus reactivation following COVID-19 vaccination
title_short Pole-to-pole involvement of varicella zoster virus reactivation following COVID-19 vaccination
title_sort pole to pole involvement of varicella zoster virus reactivation following covid 19 vaccination
topic corneal nerve fiber analysis
covid-19
herpes zoster
vaccination
varicella zoster virus
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2001;epage=2007;aulast=Mahendradas
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