J Korean Ophthalmol Soc.  2010 Feb;51(2):164-168. 10.3341/jkos.2010.51.2.164.

Ocular Manifestations of Herpes Zoster Ophthalmicus

• Chung YR
• Chang YH
• Kim DH
• Yang HS

• KMID: 2213135
• DOI: http://doi.org/10.3341/jkos.2010.51.2.164

Abstract

PURPOSE
To analyze ocular manifestations of herpes zoster ophthalmicus and evaluate risk factors and complications affecting visual acuity.
METHODS
Ocular, cutaneous, and systemic findings were analyzed retrospectively from the medical records of 81 patients, admitted between 1994 and 2007, to the dermatology department of our hospital for the management of herpes zoster ophthalmicus.
RESULTS
Herpes zoster ophthalmicus was manifested as eyelid eruption (93%), conjunctivitis (80%), keratitis (67%), iridocyclitis (36%), secondary glaucoma (20%), or extraocular muscle palsy (1%). Some patients had accompanying systemic illnesses, including malignancy, hepatitis, diabetes mellitus, chronic obstructive pulmonary disease, tuberculosis, and cerebrovascular disease. Patients with decreased vision during the follow-up period were statistically more likely to have presented with keratitis (p=0.032). However, 86% of these patients recovered vision over a 6-month period.
CONCLUSIONS
Patients presenting with keratitis upon initial evaluation are at risk for decreased vision and require appropriate ophthalmic evaluation and management.

Keyword

Herpes zoster ophthalmicus; Keratitis; Visual acuity

MeSH Terms

Conjunctivitis
Dermatology
Diabetes Mellitus
Eyelids
Follow-Up Studies
Glaucoma
Hepatitis
Herpes Zoster
Herpes Zoster Ophthalmicus
Humans
Iridocyclitis
Keratitis
Medical Records
Muscles
Paralysis
Pulmonary Disease, Chronic Obstructive
Retrospective Studies
Risk Factors
Tuberculosis
Vision, Ocular
Visual Acuity

Figure

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  Figure 1. Ocular manifestations of herpes zoster ophthalmicus.

Reference

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