单纯疱疹病毒引起的疱疹性葡萄膜炎：一例白内障手术后患者无病毒性角膜炎或葡萄膜炎病史
Herpetic uveitis caused by herpes simplex virus after cataract surgery in a patient without prior viral keratitis or uveitis: a case report.
机构信息
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Beijing Institute of Ophthalmology, Beijing, 100005, China.
出版信息
BMC Ophthalmol. 2022 Mar 5;22(1):104. doi: 10.1186/s12886-022-02326-w.
BACKGROUND
To report a case of herpetic uveitis caused by herpes simplex virus after cataract surgery in a patient without prior viral keratitis or uveitis.
CASE PRESENTATION
A 70-year-old female was referred to our clinic with a 16-day history of acute blurry vision with painful redness in the right eye. She accepted cataract surgery for the right eye ten days before initial of ocular symptoms. There was significant inflammation in anterior chamber of the right eye. Retina exam showed moderate dense vitreous opacity but not necrotic or focal retinal lesion in the right eye. The aqueous humor collected from the right eye was positive for herpes simplex virus (HSV) DNA by PCR. The diagnosis of herpetic uveitis in the right eye was made due to clinical presentations and aqueous humor examination.
CONCLUSION
Herpetic virus reactivation might occasionally occur after intraocular surgery in patients without prior ocular viral diseases, inducing atypical postoperative intraocular inflammation.
背景
报告一例单纯疱疹病毒引起的疱疹性葡萄膜炎病例，该患者在白内障手术后无先前的病毒性角膜炎或葡萄膜炎。
病例介绍
一名 70 岁女性因右眼急性视力模糊伴疼痛、发红就诊于我院，病史 16 天。她在眼部症状出现前 10 天接受了右眼白内障手术。右眼前房有明显炎症。视网膜检查显示右眼玻璃体混浊中度密集，但无坏死或局灶性视网膜病变。右眼房水通过 PCR 检测到单纯疱疹病毒 (HSV) DNA 呈阳性。根据临床表现和房水检查，诊断为右眼疱疹性葡萄膜炎。
结论
在无先前眼部病毒疾病的患者中，眼内手术后偶尔会发生疱疹病毒再激活，引起非典型的术后眼内炎症。
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