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急性视网膜坏死之后发生的带状疱疹性角膜炎

Herpes zoster keratitis development after acute retinal necrosis.

作者信息

Ansari Waseem H, Pichi Francesco, Pecen Paula E, Lowder Careen Y, Srivistava Sunil K

机构信息

Cleveland Clinic Foundation, Cole Eye Institute, 9500 Euclid Avenue Mail Code i13, Cleveland, OH, 44195, USA.

Department of Ophthalmology, University of Colorado School of Medicine, 1675 Aurora Court, F731, Aurora, CO, 80045, USA.

出版信息

Int Ophthalmol. 2018 Apr;38(2):829-832. doi: 10.1007/s10792-017-0521-7. Epub 2017 Apr 22.

DOI:10.1007/s10792-017-0521-7
PMID:28434069
Abstract

PURPOSE

To report a case of herpes zoster keratitis in a patient undergoing treatment for herpetic acute retinal necrosis.

METHODS

Case report.

RESULTS

A 71 year old male presented with acute retinal necrosis of the left eye due to herpes zoster and was treated with intravitreal foscarnet and oral valcyclovir. He developed a retinal detachment and underwent surgical repair. After four weeks, he developed an ipsilateral herpetic zoster keratitis demonstrated by Rose-Bengal staining that was responsive to topical ganciclovir gel.

CONCLUSIONS

This case report describes the unusual development of herpes zoster keratitis after the development of unilateral acute retinal necrosis (ARN) in a patient on antiviral treatment.

摘要

目的

报告1例正在接受疱疹性急性视网膜坏死治疗的患者发生带状疱疹性角膜炎的病例。

方法

病例报告。

结果

一名71岁男性因带状疱疹导致左眼急性视网膜坏死,接受玻璃体内膦甲酸和口服伐昔洛韦治疗。他发生了视网膜脱离并接受了手术修复。四周后,他出现同侧带状疱疹性角膜炎,经孟加拉玫瑰红染色证实,局部应用更昔洛韦凝胶有效。

结论

本病例报告描述了1例接受抗病毒治疗的患者在发生单侧急性视网膜坏死(ARN)后出现带状疱疹性角膜炎这一不寻常情况。

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本文引用的文献

1
Acyclovir-resistant varicella-zoster virus keratitis in an immunocompetent patient.免疫功能正常患者的阿昔洛韦耐药性水痘带状疱疹病毒角膜炎。
J Clin Virol. 2013 Sep;58(1):318-20. doi: 10.1016/j.jcv.2013.04.024. Epub 2013 Jun 4.
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Effect of prolonged oral acyclovir treatment in acute retinal necrosis.长期口服阿昔洛韦治疗急性视网膜坏死的效果。
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3
Intravitreal foscarnet for the treatment of acyclovir-resistant acute retinal necrosis caused by varicella zoster virus.
玻璃体内膦甲酸治疗水痘带状疱疹病毒引起的阿昔洛韦耐药性急性视网膜坏死。
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Two patients with the von Szily reaction: herpetic keratitis and contralateral retinal necrosis.两名患有冯·齐利反应的患者:疱疹性角膜炎和对侧视网膜坏死。
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Acute retinal necrosis following contralateral herpes zoster ophthalmicus.对侧眼部带状疱疹后急性视网膜坏死
Jpn J Ophthalmol. 2000 Sep-Oct;44(5):561-4. doi: 10.1016/s0021-5155(00)00207-0.
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The acute retinal necrosis syndrome. Possible herpes simplex retinitis.
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Varicella-zoster retinitis in human immunodeficiency virus infection. Case report.
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