YAG 周边虹膜切开术后水痘-带状疱疹病毒前葡萄膜炎再激活。
Reactivation of Varicella-Zoster Virus Anterior Uveitis after YAG Peripheral Iridotomy.
机构信息
Department of Ophthalmology, Isfahan University of Medical Sciences , Isfahan, Iran.
出版信息
Ocul Immunol Inflamm. 2020 Aug 17;28(6):956-957. doi: 10.1080/09273948.2020.1727534. Epub 2020 Mar 13.
PURPOSE
To describe the reactivation of Varicella-Zoster Virus Anterior Uveitis after YAG laser peripheral iridotomy.
CASE REPORT
A 69-year-old woman referred with unilateral, anterior uveitis associated with decreased corneal sensation and increased intraocular pressure 5 days after YAG laser peripheral iridotomy. The impression of herpetic anterior uveitis reactivation followed by YAG PI confirmed by polymerase chain reaction of aqueous humor by detecting varicella zoster virus. Treatment with oral acyclovir and topical corticosteroid and cycloplegic resulted control of both the intraocular inflammation and pressure.
CONCLUSION
YAG PI may be a risk factor for reactivation of herpetic anterior uveitis. Prophylaxis with acyclovir may be necessary after YAG PI to prevent reactivation of herpetic anterior uveitis.
目的
描述 YAG 激光周边虹膜切开术后水痘带状疱疹病毒前葡萄膜炎的再激活。
病例报告
一位 69 岁女性，在 YAG 激光周边虹膜切开术后 5 天因单侧前葡萄膜炎就诊，伴有角膜感觉减退和眼内压升高。聚合酶链反应检测房水中水痘带状疱疹病毒，诊断为疱疹性前葡萄膜炎再激活，随后进行 YAG PI 证实。予口服阿昔洛韦和局部皮质类固醇及睫状肌麻痹治疗，控制眼内炎症和眼压。
结论
YAG PI 可能是疱疹性前葡萄膜炎再激活的一个危险因素。YAG PI 后可能需要阿昔洛韦预防治疗以防止疱疹性前葡萄膜炎再激活。
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