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Viral ocular manifestations: a broad overview.

Howard Newman1, Caroline Gooding

  • 1Department of Pathology, Division of Medical Virology, Tygerberg Academic Hospital, NHLS and Stellenbosch University, Cape Town, Western Cape, South Africa. howard.newman@nhls.ac.za

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Viral infections affect diverse parts of the eye, causing conditions like keratitis and retinitis. This review covers common and uncommon viral ocular diseases, their diagnosis, and management.

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Area of Science:

  • Ophthalmology
  • Virology
  • Infectious Diseases

Background:

  • Ocular viral infections are caused by a diverse range of viruses, including Herpesviruses (HSV-1, VZV, CMV) and retroviruses like HIV.
  • Viral eye diseases manifest in various forms, such as blepharitis, conjunctivitis, keratitis, uveitis, cataract, and retinitis.
  • The increasing prevalence of HIV/AIDS significantly impacts ophthalmology, particularly in regions with limited access to antiretroviral therapy, leading to conditions like CMV retinitis and immune-recovery uveitis.

Purpose of the Study:

  • To enhance understanding of common and uncommon viral ocular diseases.
  • To provide insights into the diagnosis and management of viral eye infections.
  • To address the growing burden of viral ocular diseases in clinical settings.

Main Methods:

  • This is a review article, synthesizing existing knowledge on viral ocular diseases.
  • The review covers a broad spectrum of viral pathogens affecting the eye.
  • Information on diagnosis and management strategies is compiled from relevant literature.

Main Results:

  • Herpesviruses (HSV-1, VZV, CMV) are common causes of viral eye disease.
  • Cytomegalovirus (CMV) retinitis is increasingly prevalent in areas without widespread antiretroviral therapy.
  • Immune-recovery uveitis is observed in patients receiving antiretroviral therapy.

Conclusions:

  • A comprehensive understanding of viral ocular diseases is crucial for effective diagnosis and management.
  • Ophthalmologists must be aware of both common and rare viral infections affecting the eye.
  • The management of viral ocular diseases requires tailored approaches based on the specific virus and patient's immune status.