Clinical profile and ophthalmologic manifestations of Herpes Zoster Ophthalmicus
| Autor: | Myrna Serapiao Dos Santos, Maria Emília Xavier dos Santos Araújo, Fernanda Machado Bezerra, Fábio Mendonça Xavier Andrade |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Intraocular pressure
medicine.medical_specialty Visual acuity genetic structures Clinical profile Keratitis Uveitis Diabetes mellitus Ophthalmology medicine business.industry Perfil clínico Herpes Zoster Oftálmico Ceratite medicine.disease eye diseases Posterior segment of eyeball Uveíte Blood pressure Herpes Zoster Ophthalmicus Surgery sense organs medicine.symptom business |
| Zdroj: | Revista Brasileira de Oftalmologia, Volume: 78, Issue: 3, Pages: 170-174, Published: 01 JUL 2019 |
| Popis: | Objective: Herpes Zoster Ophthalmicus (HZO) is caused by varicella-zoster virus (VZV) and commonly affects elderly or immunocompromised patients. It has the potential to generate severe complications such as corneal ulcers, uveitis, retinal necrosis and post herpetic neuralgia. This study aimed to evaluate patients at the acute onset of the disease and describe their clinical profile and ophthalmologic findings. Methods: A cross-sectional study was performed from March 2014 to October 2015. All consecutive patients with the diagnosis of acute HZO (at a vesicle, pustule or crust stage) were enrolled and submitted to an ophthalmologic exam that included ectoscopy, best corrected visual acuity, corneal sensitivity test, slit-lamp examination, Goldmann applanation tonometry and funduscopic examination. Results: Nineteen patients were included. The mean age was 71 years old, ranging from 52 to 88. Ten patients had high blood pressure (52.6%) and nine (47.3%) had diabetes. Visual acuity lowered in comparison to the fellow eye in eleven patients (57%), ranging from one to six lines of vision, due mostly to epithelial keratitis and ocular discharge. Intraocular pressure (IOP) did not varied in most cases compared to the fellow eye. Hutchinson's sign (HS) was present in seven (36%) patients. The correlation between HS and anterior chamber reaction as well as decreased corneal sensitivity was statistically significant with Fisher's test of 0.009 and 0.029 respectively (p |
| Databáze: | OpenAIRE |
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