To Highlight A Case Of Spontaneous Hyphema In Herpes Zoster Ophthalmicus
Published 2023 - 41st Congress of the ESCRS
Reference: PO0045 | Type: Case report | DOI: 10.82333/1r8w-pv68
Authors: Sanjana Sharma* 1 , DHWANEE AGARWAL 1 , DHARMENDRA SINGH RAJAURIA 1 , H.S. SETHI 1
1OPHTHALMOLOGY,VARDHMAN MAHAVIR MEDICAL COLLEGE AND SAFDARJUNG HOSPITAL,DELHI,India
Uveitis sometimes causes hyphema but severe hyphema following herpes zoster ophthalmicus has rarely been reported. We report a case of herpes zoster ophthalmitis with severe hyphema.
Outpatient
Herpes zoster keratouveitis becomes an important differential diagnosis in cases of spontaneous hyphema. Severe anterior inflammation in rare cases of herpes zoster ophthalmicus leads to painful and s
eye department in a tertiary healthcare setup.
A 64-year-old Indian male presented to an eye emergency with a diminution of vision, severe pain, and spontaneous hyphema filling more than one-half of the anterior chamber after a 2 weeks history of fluid-filled vesicular lesions over the left half of the face with keratouveitis. Hyphema persisted for 2 weeks and sectoral iris atrophy became apparent with 3600 synechiae and complicated cataracts with visual acuity of light perception. Systemic acyclovir and topical steroid resolved keratouveitis and hyphema.
Herpes zoster keratouveitis becomes a crucial differential diagnosis in cases of spontaneous hyphema. Severe anterior inflammation in rare cases of herpes zoster ophthalmicus leads to painful and involuntary hyphema. Systemic antivirals and corticosteroids improve the outcome.