What to Do When VZV Affects the Reina, Optic Nerve, and Makes the Patient See Double?

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Identifier 20180307_nanos_vzv1_02
Title What to Do When VZV Affects the Reina, Optic Nerve, and Makes the Patient See Double?
Creator Sachin Kedar, MD, MBBS
Subject Varicella Zoster; Acute Retinal Necrosis; Ophthalmoplegia; Optic Neuropathy; Anti-Viral Medication
Description VZV is an exclusive human neurotropic alpha herpes virus, which produces chicken pox. Greater than 95% human population demonstrates serological evidence of VZV infection before adolescence. Primary infection results in a lifelong period of latency in the neurons of the cranial, dorsal root, autonomic and enteric ganglia (1). VZV reactivation due to waning cell (T-cell) mediated immunity with advancing age or immunocompromised condition, results in replication of the virus in the ganglia followed by transaxonal spread to the mucocutaneous surfaces where it produces zoster (shingles) in the corresponding dermatome (2). Mucocutaneous zoster is characterized by a painful vesicular dermatomal rash, which in most patients resolves within 4-6 weeks. Approximately 1 million new episodes of zoster are estimated to occur annually in the US with a lifetime risk of 30%. The incidence of zoster across different populations is approximately 4-4.5 per 1000 person-years and appears to be increasing (3).
Relation is Part of NANOS Annual Meeting 2018: Varicella Zoster Virus (VZV) in Neuro-Ophthalmology
Contributor Primary Sachin Kedar, MD, MBBS
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2018-05
Format video/mp4
Source 2018 North American Neuro-Ophthalmology Society Annual Meeting
Rights Management Copyright 2018. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6k97bk9
Setname ehsl_novel_nam
Date Created 2018-05-16
Date Modified 2018-07-16
ID 1323491
Reference URL https://collections.lib.utah.edu/ark:/87278/s6k97bk9
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