Complicated Ophthalmopathy in Herpes Zoster Ophthalmicus Including Vitreous Opacity, Retinal Hemorrhage and Optic Neuropathy
Journal of the Korean Ophthalmological Society
; : 513-517, 2013.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-181309
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To introduce a case of complicated ophthalmopathy in herpes zoster ophthalmicus including vitreous opacity, retinal hemorrhage and optic neuropathy having components of anterior ischemic optic neuropathy and optic neuritis. CASESUMMARY:
A 59-year-old man visited our clinic because of visual disturbance in the right eye which occurred after right facial pain and vesicles. There were inflammatory cells in the anterior chamber, retinal hemorrhage in the retina and vitreous opacity was found. Track-like high signal intensity along the right optic nerve was found on T1 MRI. Partial filling defect of optic disc was observed on fluorescein angiography (FAG). The patient was diagnosed with herpes zoster ophthalmicus complicated by anterior uveitis and optic neuropathy having components of anterior ischemic optic neuropathy and optic neuritis. The patient was started on intravenous acyclovir at a dose of 10 mg/kg every 8 hours for 5 days and Herpesid eye ointment 5 times daily. After the initial treatment, oral acyclovir 400 mg was given 3 times daily for 14 days. Skin symptoms and fundus findings improved but the visual acuity did not improve because of optic atrophy.CONCLUSIONS:
Ophthalmopathy including anterior uveitis, vitreous opacity, retinal hemorrhage and optic neuropathy having components of anterior ischemic optic neuropathy and optic neuritis should be considered in herpes zoster ophthalmicus patients.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Optic Nerve
/
Retina
/
Retinaldehyde
/
Skin
/
Facial Pain
/
Acyclovir
/
Retinal Hemorrhage
/
Fluorescein Angiography
/
Visual Acuity
/
Optic Nerve Diseases
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2013
Document type:
Article