Uveitis in Herpes zoster ophthalmicus

Abstract

In this study, most patients were immunocompetent individuals. The course of the uveitis was generally uniphasic in nature and of a relatively short duration. There was a high incidence of secondary glaucoma with 15% of all patients requiring surgical intervention. The visual loss in the five patients was not directly related to the uveitis and secondary glaucoma but to other complications associated with HZO.

Prevalence of Uveitic Secondary Glaucoma and Success of Nonsurgical Treatment in Adults and Children in a Tertiary Referral Center

“…The literature further confirms that glaucoma occurs more commonly in granulomatous uveitis and in association with entities such as Fuchs heterochromic cyclitis or herpes. 5,[13][14][15][16] The distribution of the anatomic localization of uveitis in our study, where most cases occurred in the anterior part (adults 53, children 67%), is in accordance with others studies, which reported an anterior location in 68% of patients. 5 In our group, every patient received topical therapy at least temporarily.…”

Eruption severity and characteristics in herpes zoster ophthalmicus: correlation with visual outcome, ocular complications, and postherpetic neuralgia

“…In our study, the occurrence of uveitis showed a significant association with subsequent visual loss. Early identification and treatment are all the more important as uveitis in HZO is amenable to steroid therapy 12,13 …”

Herpes Zoster Related Glaucoma

“…4 Hutchinson's sign is defined as skin lesions at the tip, side, or root of the nose and is a strong predictor of ocular inflammation and corneal denervation in HZO, especially if both branches of the nasociliary nerve are involved. 5,6 A study by Thean et al 7 identified the clinical features of uveitis secondary to HZO. Most patients were immunocompetent.…”