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Related Experiment Videos

Ocular surgery in ophthalmic zoster.

R J Marsh1, M Cooper

  • 1Department of Clinical Ophthalmology, Moorfields Eye Hospital, London.

Eye (London, England)
|January 1, 1989
PubMed
Summary

Ophthalmic zoster surgery for cataract, glaucoma, and corneal issues yielded good results, similar to routine cases. Tarsorrhaphy effectively healed neuroparalytic corneal ulceration, though prolonged inflammation was noted post-surgery.

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Area of Science:

  • Ophthalmology
  • Neurosurgery

Background:

  • Ophthalmic zoster (shingles affecting the eye) can lead to serious complications like cataract, glaucoma, and corneal damage.
  • Effective surgical management is crucial for preserving vision in patients with ophthalmic zoster.

Purpose of the Study:

  • To analyze surgical outcomes in patients with ophthalmic zoster.
  • To evaluate the efficacy of conventional surgeries for cataract, glaucoma, and corneal scarring.
  • To assess the effectiveness of tarsorrhaphy for neuroparalytic corneal ulceration.

Main Methods:

  • Retrospective analysis of data from Moorfields Eye Hospital's Zoster Clinic and Hospital Activity Analysis (HAA).
  • Inclusion of data from a lipid keratopathy database at the Western Ophthalmic Hospital.
  • Evaluation of surgical outcomes for specific ophthalmic zoster complications.

Main Results:

  • Conventional surgeries for cataract, glaucoma, and corneal scarring demonstrated good outcomes, comparable to routine cases.
  • A trend towards prolonged post-operative inflammation was observed in these conventional surgeries.
  • Lateral and central tarsorrhaphy proved highly effective, leading to rapid healing of neuroparalytic corneal ulceration.

Conclusions:

  • Surgical interventions for ophthalmic zoster complications are generally successful.
  • While conventional surgeries show good results, prolonged inflammation is a potential concern.
  • Tarsorrhaphy is a reliable and rapid treatment for neuroparalytic corneal ulceration secondary to ophthalmic zoster.

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