目的:我们的目的是介绍一例诊断为眼部带状疱疹的患者,并伴有多种眼部表现。病例介绍:一名70岁的白种人男性因左侧头皮和额头的头痛和皮肤感觉过敏而出现在医院。左眼诊断为眼带状疱疹和急性结膜炎。对患者进行了6个月的随访,在此期间,对同一只眼睛进行了以下诊断:周围无菌角膜浸润,上巩膜炎,高血压前葡萄膜炎.讨论:当休眠病毒的再激活涉及三叉神经的眼科分裂时,就会发生带状疱疹。最常见的眼部表现是结膜炎,角膜炎,葡萄膜炎,上巩膜炎,和巩膜炎.标准治疗包括抗病毒药物,比如阿昔洛韦,伐昔洛韦,和泛昔洛韦来限制病毒的复制。患者的危险因素,治疗过程中,以及疾病的严重程度,都会影响预后,这是高度可变的。预防这种疾病包括接种以下两种疫苗之一,Zostavax和Shingrix.结论:尽管有多种疾病表现,但左眼的最终视力仍保持1。缩写:VZV=水痘-带状疱疹病毒,BCVA=最佳矫正视力,OU=双眼,OD=右眼,OS=左眼,眼压=眼内压,NCT=非接触式眼压计,ZVX=Zostavax疫苗。
Objective: Our purpose was to present a
case of a patient diagnosed with herpes zoster ophthalmicus with multiple ocular manifestations.
Case presentation: A 70-year-old Caucasian male presented to the hospital for headache and skin hyperesthesia on the scalp and forehead on the left side. The diagnoses of herpes zoster ophthalmicus and acute conjunctivitis were made for the left eye. The patient was followed up for 6 months and during that period the following diagnoses were made for the same eye: peripheral sterile corneal infiltrates, episcleritis, and hypertensive anterior uveitis. Discussions: Herpes zoster ophthalmicus occurs when the reactivation of the dormant virus involves the ophthalmic division of the trigeminal nerve. The most frequent ocular presentations are conjunctivitis, keratitis, uveitis, episcleritis, and scleritis. The standard therapy consists of
antivirals, such as acyclovir, valacyclovir, and famciclovir to limit the replication of the virus. The patient\'s risk factors, the course of treatment, and the severity of the disease, all affect the prognosis, which is highly variable. Prevention of the disease consists of vaccination with one of the following two vaccines, Zostavax and Shingrix. Conclusions: Final visual acuity for the left eye remained 1 despite numerous manifestations of the disease. Abbreviations: VZV = Varicella-zoster virus, BCVA = best-corrected visual acuity, OU = both eyes, OD = right eye, OS = left eye, IOP = intraocular pressure, NCT = non-contact tonometer, ZVX = Zostavax vaccine.