Ocular Manifestations of Herpes Zoster Ophthalmicus.

Chung, Yoo Ri; Chang, Yoon Hee; Kim, Dae Hee; Yang, Hong Seok

doi:2010.51.2.164

J Korean Ophthalmol Soc > Volume 51(2); 2010 > Article

Original Article

Journal of the Korean Ophthalmological Society 2010;51(2):164-168.
DOI: https://doi.org/10.3341/jkos.2010.51.2.164 Published online February 15, 2010.

Ocular Manifestations of Herpes Zoster Ophthalmicus.

Yoo Ri Chung, Yoon Hee Chang, Dae Hee Kim, Hong Seok Yang

Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea. yhs0816@naver.com

안부 대상포진의 임상양상

정유리ㆍ장윤희ㆍ김대희ㆍ양홍석

Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea

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.

Key Words: Herpes zoster ophthalmicus;Keratitis;Visual acuity