J Korean Ophthalmol Soc > Volume 54(4); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(4):568-573.
DOI: https://doi.org/10.3341/jkos.2013.54.4.568    Published online April 30, 2013.
Comparison of Herpes Zoster Ophthalmicus in Patients 60 Years Older Versus Younger than 60 Years.
You Ra Kim, Nam Chun Cho, In Cheon You
Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea. you2ic@paran.com
60세 이상과 60세 미만의 눈대상포진 환자에서 임상양상의 비교
김유라⋅조남천⋅유인천
Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea
Abstract
PURPOSE
To analyze and compare the clinical characteristics of patients with herpes zoster ophthalmicus (HZO) by age groups on the basis of the age of 60. METHODS: Medical records of patients with HZO who visited Chonbuk National University Hospital from February 1, 2002 to February 28, 2011 were reviewed. The patients with follow-up of three months or more were divided into two groups: patients under 60 and patients with 60 years old and over. The clinical characteristics between two groups were examined through the analysis of their medical records. RESULTS: Among a total of 63 patients, 29 patients (46%) were under 60 years old, and 34 patients (54%) were 60 years old and over. Incidence of HZO highest in the sixties. The sex and intrusion of each group showed no difference. Younger patients had a higher incidence of pseudodendrite by HZO (86.2% vs. 58.8%, p = 0.014) compared with older patients who showed a higher incidence of post herpetic neuralgia (13.8% vs. 35.3%, p = 0.046). As patients showed Hutchinson's sign, they often had more ocular complications such as pseudodendrite (100% vs. 64.7%, p < 0.05), uveitis (41.7% vs. 7.8%, p = 0.04), and conjunctivitis (100% vs. 90.2%, p = 0.02). CONCLUSIONS: Herpes zoster ophthalmicus shows different clinical characteristics according to patients' age and requires appropriate treatment. Especially elderly patients showing Hutchinson's sign should be treated early and aggressively enough.
Key Words: Age;Herpes zoster ophthalmicus;Hutchinson's sign;Postherpetic neuralgia;Pseudodendrite


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