a Department of Ophthalmology , New York University School of Medicine , New York , New York , USA.
Ocul Immunol Inflamm. 2018;26(2):184-186. doi: 10.1080/09273948.2017.1351572. Epub 2017 Oct 5.
To describe a case of posterior scleritis with serous choroidal detachment that occurred as an acute complication of herpes zoster ophthalmicus (HZO).
Retrospective case report.
A 75-year-old female presented with 3 days of painful, decreased vision in her left eye 1 week after being diagnosed with HZO. She had unilateral crusted vesicular lesions in the V1 dermatomal distribution and corneal pseudodendrites. Funduscopic examination demonstrated a large choroidal detachment in her left eye. B-scan ultrasonography revealed unilaterally thickened sclera consistent with posterior scleritis. She was treated with oral prednisone and a 2-week course of intravenous acyclovir. Two weeks after the initiation of treatment, her vision had improved and she demonstrated complete resolution of her pseudodendrites, posterior scleritis, and choroidal detachment.
Prompt recognition and treatment of this unique combination of clinical manifestations of HZO resulted in significant improvement in vision and resolution of the scleritis and choroidal detachment.
描述一例带状疱疹性眼病（HZO）的急性并发症后巩膜炎伴浆液性脉络膜脱离。
回顾性病例报告。
一名 75 岁女性，HZO 确诊后 1 周出现左眼疼痛、视力下降 3 天。她在 V1 皮节分布区单侧有结痂性水疱性病变和角膜假树枝状。眼底检查显示左眼脉络膜脱离较大。B 型超声显示单侧巩膜增厚，符合后巩膜炎。她接受了口服泼尼松龙和 2 周静脉注射阿昔洛韦治疗。治疗开始后 2 周，她的视力有所改善，假树枝状、后巩膜炎和脉络膜脱离完全消退。
及时认识和治疗 HZO 的这种独特临床表现组合，显著改善了视力，并使巩膜炎和脉络膜脱离得到了缓解。
