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Neurotrophic ulcer after extra-capsular cataract operation.

Fatma Yülek1, Hasan Basri Cakmak, Nurullah Cağil

  • 1SB Atatürk Eğitim ve Araştirma Hastanesi, Ankara, Turkey. fatmayulek@yahoo.com.tr

Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association
|April 11, 2007
PubMed
Summary

Herpes zoster can cause rare but challenging neurotrophic corneal ulcers, particularly after cataract surgery. Prompt diagnosis of prior herpes zoster infections is crucial for effective treatment.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Neurology

Background:

  • Neurotrophic ulcers, though uncommon, can arise from herpes zoster infections.
  • Cataract surgery presents a potential trigger or complicating factor for these ulcers.

Observation:

  • A case of neurotrophic corneal ulcer following cataract surgery is presented.
  • The ulcer's development raised suspicion for a prior herpes zoster (shingles) attack.

Findings:

  • Herpes zoster reactivation can lead to severe ocular complications, including neurotrophic corneal ulcers.
  • Thorough patient history is essential to identify previous herpes zoster infections.

Implications:

  • Ophthalmologists must consider herpes zoster in patients with neurotrophic corneal ulcers post-cataract surgery.

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  • Early identification and appropriate antiviral treatment can prevent vision loss.