Volume 4, Issue 1, March 2019, Page: 19-23
The Clinical Profile and Ocular Manifestations of Herpes Zoster Ophthalmicus- A Hospital Based Study
Prathibha Shanthaveerappa, Department of Ophthalmology, Rajarajeswari Medical College and Hospital, Rajiv Gandhi University of Health And Sciences, Bangalore, India
Remya Joseph Parappallil, Department of Ophthalmology, Rajarajeswari Medical College and Hospital, Rajiv Gandhi University of Health And Sciences, Bangalore, India
Received: Jan. 28, 2019;       Accepted: Mar. 22, 2019;       Published: Apr. 18, 2019
DOI: 10.11648/j.ijovs.20190401.14      View  255      Downloads  31
Abstract
Background: Herpes Zoster Ophthalmicus (HZO) occurs due to reactivation of latent varicella zoster virus within the gasserian ganglion involving the ophthalmic division of the trigeminal nerve. HZO often has a chronic course with significant ocular morbidity as eye is considered potentially serious of all sites of herpes zoster owing to its delicate nature. Purpose:1. To study the mode of presentation, ocular manifestations and complications of herpes zoster ophthalmicus (HZO) 2. To analyse the predisposing factors for the development of HZO. Materials and Methods: A prospective clinical study was done in 20 patients who were clinically diagnosed with HZO in the outpatient department of ophthalmology over a period of one year. They were subjected to a detailed general and ocular examination and were treated medically with close follow up. Result: Advancing age was the most common risk factor. Acute neuralgia was the commonest presenting symptom (75%). Ocular involvement was seen in 16 patients with no bilaterality. Conjunctiva (60%) was the most common ocular structure involved followed by Cornea (45%). Anterior uveitis (20%) was complicated by haemorrhagic uveitis and orbital apex syndrome with total external ophthalmoplegia. Post herpetic neuralgia was the commonest complication seen. Conclusion: The potential manifestations of HZO are myriad. Development of serious inflammatory complications was associated with delay in therapy. Hence timely diagnosis and management are critical in limiting ocular morbidity
Keywords
Herpes Zoster Ophthalmicus (HZO), Acyclovir, Orbital Apex Syndrome, Post Herpetic Neuralgia
To cite this article
Prathibha Shanthaveerappa, Remya Joseph Parappallil, The Clinical Profile and Ocular Manifestations of Herpes Zoster Ophthalmicus- A Hospital Based Study, International Journal of Ophthalmology & Visual Science. Vol. 4, No. 1, 2019, pp. 19-23. doi: 10.11648/j.ijovs.20190401.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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