Herpes zoster sine herpete presenting with hyphema
Herpes zoster sine herpete presenting with hyphema
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DOI：
10.1076/0927-3948(200006)8:2;1-0;ft115
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发表时间：
2000-01-01
影响因子：
3.3
通讯作者：
Gottsch, JD
中科院分区：
文献类型：
--
作者：
Akpek, EK;Gottsch, JD
目的：报告1例以前房积血为表现的单纯疱疹性带状疱疹。方法：一位69岁的男性，在三周前的喷砂暴露后，因左眼外伤性前房积血和角膜水肿而被转诊。裂隙灯检查显示前房出血、前房炎症、中度瞳孔散大、角膜感觉受损和高眼压，无任何面部皮肤病变。虹膜荧光血管造影显示虹膜血管迂曲和广泛闭塞。患者接受口服阿昔洛韦和强化外用类固醇治疗，推测诊断为严重带状疱疹葡萄膜炎。结果：临床结果在几天内显着改善。典型的扇形虹膜萎缩伴瞳孔括约肌功能障碍和角膜感觉完全丧失发生在眼内炎症消退后。结论：葡萄膜炎合并前房积血患者即使无典型皮疹，也应考虑带状疱疹的可能。
Purpose: To report a case of herpes zoster sine herpete presenting with hyphema. Methods: A 69-year-old man was referred for traumatic hyphema and corneal edema in his left eye after a sandblast exposure three weeks previously. Slit-lamp examination demonstrated hyphema, anterior chamber inflammation, mid-dilated pupil, impaired corneal sensation, and high intraocular pressure, without any facial skin lesions. Iris fluorescein angiography revealed tortuosity and extensive occlusion of iris vessels. The patient was treated with oral acyclovir and intensive topical steroids with a presumed diagnosis of severe herpes zoster uveitis. Results: Clinical findings improved dramatically within several days. Typical sectorial iris atrophy with pupillary sphincter dysfunction and complete loss of corneal sensation developed after the resolution of intraocular inflammation. Conclusion: Herpes zoster should be considered in patients with uveitis and hyphema even in the absence of typical skin rash.