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Peripheral corneal ulcers with herpes zoster ophthalmicus
American Journal of Ophthalmology
|November 1, 1978
Summary
Herpes zoster ophthalmicus can cause peripheral corneal ulcers, sometimes resembling Mooren's ulcer. These ulcers, associated with anterior uveitis, can lead to significant vision loss.
Area of Science:
- Ophthalmology
- Virology
Background:
- Herpes zoster ophthalmicus (HZO) is a viral infection affecting the eye.
- Ocular complications of HZO can be severe and vision-threatening.
Observation:
- Four patients with HZO presented with peripheral corneal ulcers.
- These ulcers exhibited steep central edges.
- Anterior uveitis was a concurrent finding in all cases.
Findings:
- One patient developed bilateral corneal ulcers characteristic of Mooren's ulcer, leading to corneal destruction.
- The remaining three patients had unilateral ulcers that were not relentlessly progressive.
Implications:
- HZO is a potential cause of peripheral ulcerative keratitis, including Mooren's-like ulcers.
- Prompt diagnosis and management are crucial to prevent severe visual impairment in HZO patients.