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Primed Mycobacterial Uveitis PMU as a Model for Post-Infectious Uveitis
Published on: December 17, 2021
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Posterior Herpetic Uveitis: A Comprehensive Review.
Andrea Servillo1,2, Alessandro Berni1,2, Alessandro Marchese1,2
1Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Ocular Immunology and Inflammation
|June 26, 2023
Summary
Posterior herpetic uveitis presents with diverse clinical signs caused by herpes simplex, varicella zoster, and cytomegalovirus. Recognizing these ocular manifestations aids in early diagnosis of herpetic uveitis.
Area of Science:
- Ophthalmology
- Virology
- Immunology
Background:
- Posterior herpetic uveitis is an inflammatory condition affecting the back of the eye.
- Herpes simplex virus (HSV), varicella zoster virus (VZV), and cytomegalovirus (CMV) are common causative agents.
- Understanding the varied clinical presentations is crucial for diagnosis and management.
Purpose of the Study:
- To summarize and illustrate the primary clinical presentations of posterior herpetic uveitis.
- To highlight the diverse ocular manifestations associated with different herpetic viruses.
Main Methods:
- This study is based on a narrative review of existing literature.
- Clinical presentations of posterior herpetic uveitis were analyzed.
Main Results:
- HSV and VZV can lead to acute retinal necrosis, progressive outer retinal necrosis, and non-necrotizing herpetic retinopathies.
- CMV is linked to fulminant retinitis, indolent/granular retinitis, and frosted branch angiitis.
- Clinical findings often correlate with specific risk factors and host immune profiles.
Conclusions:
- Herpetic viruses induce a spectrum of posterior uveitis clinical findings.
- Ocular manifestations and host immunology can help differentiate herpetic entities pre-diagnosis.
- Early recognition of clinical signs aids in timely laboratory confirmation and treatment.
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