We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Retinal Necrosis Following Varicella-Zoster Vaccination

John A. Gonzales, MD; Ashleigh L. Levison, MD; Jay M. Stewart, MD; Nisha R. Acharya, MD, MS; Todd P. Margolis, MD, PhD
Arch Ophthalmol. 2012;130(10):1355-1356. doi:10.1001/archophthalmol.2012.2255.
Text Size: A A A
Published online


We read with interest the recent article by Charkoudian et al1 describing 2 cases of acute retinal necrosis following vaccination with Zostavax and wish to share our own experience of zoster retinitis following vaccination with Varivax (varicella virus vaccine, live; Merck & Co, Inc). Our case is unique, however, in that we identified the vaccine strain of the virus (Oka) in the vitreous of the involved eye.

Correspondence: Dr Gonzales, F. I. Proctor Foundation, University of California, San Francisco, 95 Kirkham St, San Francisco, CA 94143 (john.gonzales@ucsf.edu).

Financial Disclosure: None reported.

Figures in this Article


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Fundus photograph of the right eye showing extensive peripheral retinal necrosis.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. Fundus photograph of the left eye showing the focus of retinitis inferotemporal to the macula.




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 3

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.