Waseem H Ansari1, Francesco Pichi2, Paula E Pecen3, Careen Y Lowder2, Sunil K Srivistava2. 1. Cleveland Clinic Foundation, Cole Eye Institute, 9500 Euclid Avenue Mail Code i13, Cleveland, OH, 44195, USA. Ansariw@ccf.org. 2. Cleveland Clinic Foundation, Cole Eye Institute, 9500 Euclid Avenue Mail Code i13, Cleveland, OH, 44195, USA. 3. Department of Ophthalmology, University of Colorado School of Medicine, 1675 Aurora Court, F731, Aurora, CO, 80045, USA.
Abstract
PURPOSE: To report a case of herpes zoster keratitis in a patient undergoing treatment for herpetic acute retinal necrosis. METHODS: Case report. RESULTS: A 71 year old male presented with acute retinal necrosis of the left eye due to herpes zoster and was treated with intravitreal foscarnet and oral valcyclovir. He developed a retinal detachment and underwent surgical repair. After four weeks, he developed an ipsilateral herpetic zoster keratitis demonstrated by Rose-Bengal staining that was responsive to topical ganciclovir gel. CONCLUSIONS: This case report describes the unusual development of herpes zoster keratitis after the development of unilateral acute retinal necrosis (ARN) in a patient on antiviral treatment.
PURPOSE: To report a case of herpes zoster keratitis in a patient undergoing treatment for herpetic acute retinal necrosis. METHODS: Case report. RESULTS: A 71 year old male presented with acute retinal necrosis of the left eye due to herpes zoster and was treated with intravitreal foscarnet and oral valcyclovir. He developed a retinal detachment and underwent surgical repair. After four weeks, he developed an ipsilateral herpetic zoster keratitis demonstrated by Rose-Bengal staining that was responsive to topical ganciclovir gel. CONCLUSIONS: This case report describes the unusual development of herpes zoster keratitis after the development of unilateral acute retinal necrosis (ARN) in a patient on antiviral treatment.
Authors: Lynnelle K Smith; Paul A Kurz; David J Wilson; Christina J Flaxel; James T Rosenbaum Journal: Am J Ophthalmol Date: 2006-11-28 Impact factor: 5.258