Clinical findings and management of herpetic keratouveitis with secondary glaucoma (a case report)

Udom, U. C. And Idu, F. K.

Abstract

Inflammation of the iris and ciliary body, referred to as anterior uveitis, occurs frequently with herpes zoster ophthalmicus. And maybe isolated or associated with keratitis, an inflammation of the cornea. When associated with keratitis, it is referred to as Keratouveitis. Herpes zoster is a common infection caused by the human herpesvirus 3 when reactivation of the latent virus in the trigeminal ganglia involves the ophthalmic division of the nerve. The virus damages the eye and surrounding structures by secondary perineural and intraneural inflammation of sensory nerves. Ocular complications sometimes ocular pressure (IOP) may be elevated as a result of altered or obstructed aqueous outflow, leading to uveitic
glaucoma, with IOP ranging from 30 to 80Hg. The following case report is a review of clinical findings and management of herpetic keratouveitis with secondary glaucoma in a 62-year-old black male, who had
no facial rash.

Keywords: Herpes zoster, Uveitis, Glaucoma, Keratitis, Keratouveitis

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