Paediatric varicella choroiditis.

Editor,—Unifocal choroiditis occurs in children and adults with primary (chickenpox) and secondary varicella zoster virus (VZV) infection.1 Current recommendations by the American Academy of Pediatrics do not include the routine use of oral aciclovir for uncomplicated varicella in otherwise healthy children; individual cases, however, may justify a “modest clinical benefit” from oral aciclovir therapy, provided it can be initiated within the first 24 hours of illness.2 We describe here an otherwise healthy child with chickenpox who developed a unilateral, unifocal choroiditis with overlying serous detachment of the macula. A prompt visual response was observed with oral aciclovir, initiated 5 days after the onset of systemic illness. We suggest, therefore, …