Roberts T V, Francis I C, Kappagoda M B, Dick A D
Westmead Hospital, Sydney, Australia.
Eye (Lond). 1995;9 ( Pt 5):594-8. doi: 10.1038/eye.1995.146.
Chorioretinitis and subsequent choroidal and retinal pigment epithelial atrophy following herpes zoster ophthalmicus (HZO) have rarely been reported. We report two patients, who several months following attacks of acute HZO, developed posterior fundus features of yellow, non-pigmented, punched-out areas of retinal pigment epithelial and choroidal pigment atrophy, which we have termed herpes zoster chorioretinopathy. An occlusive vasculitic process is proposed as the pathogenesis for this chorioretinopathy, and may be similar to that seen in the delayed cerebral vasculitis following HZO. A previous history of HZO should be sought in patients with a unilateral, multifocal, non-pigmented chorioretinopathy, as this may represent a characteristic delayed feature.
眼部带状疱疹（HZO）后发生的脉络膜视网膜炎以及随后的脉络膜和视网膜色素上皮萎缩鲜有报道。我们报告了两名患者，他们在急性HZO发作数月后，眼底出现了后部特征，表现为视网膜色素上皮和脉络膜色素萎缩的黄色、无色素、圆形缺损区，我们将其称为带状疱疹性脉络膜视网病变。一种闭塞性血管炎过程被认为是这种脉络膜视网病变的发病机制，可能与HZO后延迟性脑血管炎所见机制相似。对于单侧、多灶性、无色素性脉络膜视网病变患者，应询问其既往HZO病史，因为这可能代表一种特征性的延迟表现。
