Open AccessHerpes Zoster Anterior Uveitis with Hyphaema
Author(s) -
Rajagopal Arvinth,
Mimiwati Zahari,
Sagili Chandrasekhara Reddy
Publication year - 2021
Publication title -
european journal of medical and health sciences
Language(s) - English
Resource type - Journals
ISSN - 2593-8339
DOI - 10.24018/ejmed.2021.3.5.1010
Subject(s) - herpes zoster ophthalmicus , medicine , uveitis , anterior uveitis , dermatology , rash , keratitis , complication , trigeminal nerve , surgery , shingles , ophthalmology , immunology , virus
Herpes zoster ophthalmicus usually manifests in elderly people as a unilateral painful skin rash in a dermatomal distribution of the ophthalmic division of the trigeminal nerve shared by the eye and ocular adnexa. It is the reactivation of varicella-zoster infection. Most common ocular manifestations of this disease include keratitis, conjunctivitis, and anterior uveitis. Severe hyphemia as a complication following herpes zoster uveitis is uncommon. We report a rare case of a 90-year-old lady with herpes zoster ophthalmicus and diabetes mellitus with unusually severe hyphemia. The disease responded well to systemic and topical steroids with improved vision outcome. Early referral to an ophthalmologist, detailed evaluation, and immediate treatment are mandatory to prevent permanent vision loss in these patients.