목적 : 수두환자에서 발생한 단안의 망막중심동맥폐쇄를 경험하였기에 보고하고자 한다. 증례요약 : 24세 여자가 구심성 발진과 홍반을 시작으로 수포와 가피가 생겨 개인병원에서 수두로 진단받고 치료하던 중 5일째에 갑작스런 좌안 시력저하가 발생하여 본원 내원하였다. 내원 당시 좌안 시력은 광각유, 우안은 1.0 이었고 안저검사상 좌안의 망막중심동맥폐쇄소견을 보였다. 혈액응고이상을 포함한 전반적인 혈액학적 검사를 시행하였다. 심장 및 경동맥은 이상소견 없었고, 일반적인 혈액응고검사에서 특이소견은 보이지 않았다. 항핵항체, 류마티스인자, 항인지질항체는 음성이었다. 병변부 조직생검 및 수두바이러스에 대한 중합효소연쇄반응 검사에서 양성으로 나와 수두와 연관되어 발생한 망막중심동맥폐쇄로 진단하였다.

Purpose: To report a case of central retinal artery occlusion (CRAO) associated with chickenpox. Case summary: A 24-year-old female presenting with a history of centripetal eruption and erythema, followed by vesicle and eschar, was diagnosed with varicella and managed in a local medical clinic. Five days after the varicella eruption, she experienced decreased vision in her left eye. On initial exam visual acuity was light-sense positive in the left eye and 1.0 in the right eye; on fundus examination the patient was diagnosed with CRAO. We performed hematologic tests including thrombophilia studies, but there were no abnormal findings on routine hematologic tests, the carotid artery, or cardiovascular examinations. Antinuclear antibody, rheumatoid factor, and antiphospholipid antibody were negative. Skin biopsy and PCR results both corresponded with varicella, and the patient was diagnosed with CRAO associated with chickenpox.

Purpose: To report a case of central retinal artery occlusion (CRAO) associated with chickenpox. Case summary: A 24-year-old female presenting with a history of centripetal eruption and erythema, followed by vesicle and eschar, was diagnosed with varicella and managed in a local medical clinic. Five days after the varicella eruption, she experienced decreased vision in her left eye. On initial exam visual acuity was light-sense positive in the left eye and 1.0 in the right eye; on fundus examination the patient was diagnosed with CRAO. We performed hematologic tests including thrombophilia studies, but there were no abnormal findings on routine hematologic tests, the carotid artery, or cardiovascular examinations. Antinuclear antibody, rheumatoid factor, and antiphospholipid antibody were negative. Skin biopsy and PCR results both corresponded with varicella, and the patient was diagnosed with CRAO associated with chickenpox.