A Case of Herpes Zoster Sine Herpete following Pediatric Penetrating Keratoplasty.

Huh, Kang Cheol; Jung, Eui Sang; Ahn, Byung Heon; Kim, Woo Jung

Original Article

Journal of the Korean Ophthalmological Society 2001;42(1):175-179.
Published online January 1, 2001.

A Case of Herpes Zoster Sine Herpete following Pediatric Penetrating Keratoplasty.

Kang Cheol Huh, Eui Sang Jung, Byung Heon Ahn, Woo Jung Kim

Department of Ophthalmology, College of Medicine, Sungkyunkwan University, Samsung Medical Center, Korea.

소아 전층 각막이식 후에 발생한 Herpes Zoster Sine Herpete 1 례

허강철(Kang Cheol Huh),정의상(Eui Sang Jung),안병헌(Byung Heon Ahn),김우중(Woo Jung Kim)

Abstract

Herpes zoster ophthalmicus sine herpete(HZSH), which means herpes zoster ophthalmicus(HZO)without skin eruption, is one of the atypical manifestations of varicella-oster virus(VZV)infection. Idiopathic iridocyclitis or acute retinal necrosis without skin lesion secondary to varicella-oster virus are good examples. Diagnosing zoster iridocyclitis without skin eruption is difficult because in the absence of typical skin eruption it is difficult to suspect varicella-zoster virus as the cause of inflammation in the absence of typical skin eruption. We describe here a rare case of a pediatric patient with severe iridocyclitis in a pediatric patient after penetration of keratoplasty in whom VZV DNA was detected using the DNA amplification and polymerase chain reaction(PCR)method. To our best knowledge, this is the first case report of varicella-zoster virus iridocyclitis in a pediatric patient after penetrating keratoplasty.

Key Words: Herpes zoster sine herpete(HZSH);Iridocyclitis;Pediatric PKP;Polymerase chain reaction(PCR)