Multifocal Serous Retinal Detachments in a Patient With Herpes Zoster Ophthalmicus

Purpose: To present a unique case of multifocal macular serous retinal detachments in the absence of retinal necrosis. Methods: A single case was reviewed. Results: A 74-year-old man presented with right ocular scotomas and was found to have right macular multifocal serous retinal detachments. This was followed by V1 distribution vesicular rash, pseudodendrites, and mild anterior uveitis consistent with herpes zoster ophthalmicus. The patient was maintained on oral valacyclovir and prednisolone eye drops. Within 2 weeks of his initial presentation, a third cranial nerve palsy developed. The macular serous retinal detachment resolved a month after the onset of his treatment-related symptoms. Conclusions: To our knowledge, this is one of the few case reports describing multifocal macular serous retinal detachment in the absence of retinal necrosis. Further case reports are needed to delineate the natural course of this manifestation.