眼科带状疱疹的临床特点和眼部表现——一项医院研究

Prathibha Shanthaveerappa, Remya Joseph Parappallil
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引用次数: 1

摘要

背景:眼带状疱疹(HZO)的发生是由于潜伏的水痘带状疱疹病毒在三叉神经的眼部神经节内重新激活。HZO通常具有慢性病程并伴有显著的眼部发病率,因为由于其脆弱的性质,眼睛被认为是所有部位带状疱疹中潜在的严重部位。目的:1。目的:探讨眼带状疱疹(HZO) 2的发病方式、眼部表现及并发症。分析HZO发病的易感因素。材料与方法:对20例1年以上眼科门诊临床诊断为HZO的患者进行前瞻性临床研究。他们接受了详细的全身检查和眼部检查,并接受了密切随访的医学治疗。结果:高龄是最常见的危险因素。急性神经痛是最常见的症状(75%)。16例无双侧的患者受累于眼部。结膜(60%)是最常见的眼部结构受累,其次是角膜(45%)。前葡萄膜炎(20%)并发出血性葡萄膜炎和眶尖综合征并全外眼肌麻痹。疱疹后神经痛是最常见的并发症。结论:HZO的潜在表现多种多样。严重炎症并发症的发生与治疗延迟有关。因此,及时诊断和处理是限制眼部发病率的关键
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The Clinical Profile and Ocular Manifestations of Herpes Zoster Ophthalmicus- A Hospital Based Study
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
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