A conventional case of herpes zoster ophthalmicus with curious findings

Author:

Yaragani Aravind1,Subramanian Kamala1

Affiliation:

1. Glaucoma Services, Sankara Eye Hospital, Shimoga, Karnataka, India

Abstract

A 49-year-old female presented with complaints of right-sided headache, right eye severe pain, and diminution of vision since 1 month. Examination revealed healed skin rashes over the right side of the forehead, right upper lid mechanical ptosis, unilateral restriction of movements, corneal edema, total hyphema, and thickening of retino-choroido-scleral (RCS) complex with subtenon fluid on ultrasonography. A diagnosis of herpes zoster uveitis with total hyphema with posterior scleritis was considered. She was started on topical steroids and intraocular pressure (IOP) lowering agents. But, she was lost to follow up and 6 months later, the eye was phthisical. Here, we present a relatively rare case of herpes zoster ophthalmicus (HZO) with hyphema and posterior scleritis.

Publisher

Medknow

Subject

General Earth and Planetary Sciences,General Environmental Science

Reference10 articles.

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3. Spontaneous hyphema associated with anterior uveitis;Fong;Br J Ophthalmol,1993

4. Evaluation and management of herpes zoster ophthalmicus;Saad;Am Fam Physician,2002

5. Hutchinson's sign of ophthalmic zoster;Frary;Clin Case Rep,2020

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