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herpes zoster ophthalmicus

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https://www.readbyqxmd.com/read/27911430/-clinical-presentations-of-herpes-zoster-ophthalmicus-diagnosis-and-therapy
#1
G M Chernakova, E A Kleshcheva, T B Semenova
: Approximately a quarter of the world's population at some point in life is at risk of developing shingles (Herpes Zoster). In 10-20% of cases the first branch of the trigeminal nerve gets involved (Herpes Zoster Ophthalmicus, HZO). Ophthalmic complications of HZO are able to cause a significant reduction in visual function. AIM: To study and summarize clinical features of HZO (including the rate of complications and their nature) and to determine the relationship between clinical and laboratory data from these patients...
2016: Vestnik Oftalmologii
https://www.readbyqxmd.com/read/27880853/risk-of-stroke-after-herpes-zoster-evidence-from-a-german-self-controlled-case-series-study
#2
Tania Schink, Sigrid Behr, Kathrin Thöne, Hélène Bricout, Edeltraut Garbe
BACKGROUND: Herpes zoster (HZ) is caused by reactivation of the latent varicella-zoster virus (VZV). A severe complication of HZ is VZV vasculopathy which can result in ischemic or hemorrhagic stroke. The aims of our study were to assess the risk of stroke after the onset of HZ and to investigate the roles of stroke subtype, HZ location and the time interval between HZ onset and stroke. METHODS: A self-controlled case-series study was performed on a cohort of patients with incident stroke recorded in the German Pharmacoepidemiological Research Database (GePaRD), which covers about 20 million persons throughout Germany...
2016: PloS One
https://www.readbyqxmd.com/read/27875624/a-case-of-miller-fisher-syndrome-associated-with-preceding-herpes-zoster-ophthalmicus
#3
Angelo Cascio Rizzo, Martina Ulivi, Nicoletta Brunelli, Alessio Pepe, Giovanni Assenza, Lucia Florio, Vincenzo Di Lazzaro
No abstract text is available yet for this article.
November 22, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27810150/risk-of-stroke-in-patients-with-herpes-zoster-a-systematic-review-and-meta-analysis
#4
Sheng-Ye Yang, Hong-Xing Li, Xin-Hao Yi, Guang-Liang Han, Qiang Zong, Ming-Xing Wang, Xiao-Xiao Peng
BACKGROUND: Several observational studies suggest that herpes zoster (HZ) may increase the risk of stroke, but the results are inconsistent. Our study was designed to assess the association between HZ and the risk of stroke through a meta-analysis of cohort studies. METHODS: The electronic databases PubMed and EMBASE were searched from inception to May 31, 2016 to identify relevant cohort studies that assess the risk of stroke in patients with HZ. Reference lists were also reviewed to identify potential studies...
October 31, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27741018/prevalence-of-ocular-manifestations-and-visual-outcomes-in-patients-with-herpes-zoster-ophthalmicus
#5
Simon K H Szeto, Tommy C Y Chan, Raymond L M Wong, Alex L K Ng, Emmy Y M Li, Vishal Jhanji
PURPOSE: To investigate the prevalence of ocular manifestations and visual outcomes in patients with herpes zoster ophthalmicus (HZO). METHODS: Consecutive cases diagnosed with HZO who attended 2 hospitals between July 1, 2011, and June 30, 2015, were retrospectively reviewed. Patient demographics, clinical presentations, and management were reviewed. The logistic regression model was used to estimate the odds ratio of visual loss with ocular manifestations. RESULTS: A total of 259 patients were included...
October 12, 2016: Cornea
https://www.readbyqxmd.com/read/27711168/initial-presentation-sites-as-predictors-of-herpes-zoster-complications-a-nationwide-cohort-study
#6
Wen-Yi Wang, Sing-Huh Liu, Meng-Yin Lin, Che-Chen Lin, I-Jong Wang
Herpes zoster (HZ) is associated with complications such as postherpetic neuralgia (PHN) and HZ ophthalmicus (HZO). However, few studies have focused on identifying patients having a high risk of PHN and HZO according to the initial presentation sites. The current study investigated these factors in a nationwide population-based cohort derived from Taiwan's Longitudinal Health Insurance Database. The results indicate that the initial presentation sites can predict the complication site of HZ. In this study, elderly patients were found to be more susceptible to HZ and were the first to present with neurological signs (HZN)...
2016: PloS One
https://www.readbyqxmd.com/read/27644149/herpes-zoster-ophthalmicus-a-review-for-the-internist
#7
Ivan Vrcek, Eileen Choudhury, Vikram Durairaj
Herpes zoster ophthalmicus occurs due to reactivation of the varicella zoster virus in the ophthalmic branch of the fifth cranial nerve. This disease primarily affects the elderly as well as the immunocompromised and can result in a wide range of ophthalmic morbidity. Systemic antiviral therapy is the mainstay of treatment; however, consultation with an ophthalmologist is typically indicated. Herein we present a review of this common entity including epidemiology, pathophysiology, evaluation, treatment, follow up and an update on the current body of literature...
September 16, 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27504322/a-rare-case-of-orbital-apex-syndrome-in-herpes-zoster-ophthalmicus
#8
Charudutt Kalamkar, Nishant Radke, Amrita Mukherjee, Snehal Radke
Orbital Apex Syndrome (OAS) is a rare complication of Herpes Zoster Ophthalmicus (HZO). We are reporting a case of 65-year-old male who developed OAS following HZO. Patient presented with vesicular rash in the typical dermatomal distribution, severe periocular congestion and limited ocular motility in all gazes along with loss of vision. Soft tissue inflammation improved within 4 weeks of initiation of treatment while ocular motility slowly improved over 3 months. Patient did not gain vision despite receiving systemic steroids and systemic anti-viral medication...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27413505/favorable-long-term-prognosis-of-cataract-surgery-in-herpes-zoster-ophthalmicus
#9
Kulbhushan Prakash Chaudhary, Deepti Mahajan, Praveen Panwar
PURPOSE: Scleritis is a rare presentation of herpes zoster ophthalmicus, complicated most commonly by iridocyclitis and raised intraocular pressure. These complications can recur in subsequent years, therefore they should be managed well. CASE REPORT: We describe a female patient who developed scleritis, complicated cataract and secondary glaucoma 2 years after being diagnosed by HZO. Secondary glaucoma was managed medically, and the patient underwent extracapsular cataract extraction for the complicated cataract...
April 2016: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/27387135/assessment-of-the-accuracy-of-using-icd-9-codes-to-identify-uveitis-herpes-zoster-ophthalmicus-scleritis-and-episcleritis
#10
Matthew A Pimentel, Erica N Browne, Priya M Janardhana, Durga S Borkar, Vivien M Tham, Aileen Uchida, Aleli C Vinoya, Nisha R Acharya
IMPORTANCE: With the increased use of data from electronic medical records for research, it is important to validate International Classification of Diseases, Ninth Revision (ICD-9) codes for their respective diagnoses. OBJECTIVE: To assess the accuracy of using ICD-9 codes to identify ocular inflammatory diseases. DESIGN, SETTING, AND PARTICIPANTS: Retrospective secondary database analysis. The setting was Kaiser Permanente Hawaii, an integrated managed care consortium that serves approximately 15% of the general Hawaiian population...
September 1, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27236644/clinical-and-corneal-microbial-profile-of-infectious-keratitis-in-a-high-hiv-prevalence-setting-in-rural-south-africa
#11
E Schaftenaar, R P H Peters, G S Baarsma, C Meenken, N S Khosa, S Getu, J A McIntyre, A D M E Osterhaus, G M G M Verjans
The purpose of this investigation was to determine the clinical and corneal microbial profile of infectious keratitis in a high human immunodeficiency virus (HIV) prevalence setting in rural South Africa. Data in this cross-sectional study were collected from patients presenting with symptoms of infectious keratitis (n = 46) at the ophthalmology outpatient department of three hospitals in rural South Africa. Corneal swabs were tested for herpes simplex virus type 1 (HSV-1) and 2 (HSV-2), varicella zoster virus (VZV) and adenovirus DNA by real-time polymerase chain reaction (PCR) and for bacteria and fungi by culture...
September 2016: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/27224081/herpes-zoster-ophthalmicus-and-varicella-zoster-virus-vasculopathy
#12
Francisco Bandeira, Marina Roizenblatt, Guido Carlos Levi, Denise de Freitas, Rubens Belfort
Herpes zoster (HZ) corresponds to the reactivation of varicella zoster virus (VZV). Among adults, the ophthalmic division of the trigeminal nerve is one of the most common sites of involvement. Vasculopathy caused by HZ is associated with significant morbidity and mortality, affecting structures such as the brain, which can lead to stroke. In this review, we analyzed the epidemiological and clinical aspects of the vascular involvement of VZV, focusing on the peculiarities of its association with ocular HZ. A review of the available literature indicated that ocular involvement of HZ was a risk factor for vasculopathy after adjusting for age, sex, body mass index, smoking, indicators of metabolic syndrome, and vascular and heart diseases...
April 2016: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/27067924/epidemiology-of-herpes-zoster-ophthalmicus-recurrence-and-chronicity
#13
Kimberly D Tran, Michelle M Falcone, Daniel S Choi, Raquel Goldhardt, Carol L Karp, Janet L Davis, Anat Galor
PURPOSE: A hospital-based epidemiology study to describe herpes zoster ophthalmicus (HZO) prevalence and risk factors for recurrent and chronic disease. DESIGN: Retrospective, hospital-based cohort study. PARTICIPANTS: All patients evaluated in the Broward and Miami Veterans Administration Healthcare System (MIAVHS) during the study period. METHODS: Retrospective medical record review of patients seen in the MIAVHS from January 1, 2010, through December 31, 2014, with a HZO clinical diagnosis...
July 2016: Ophthalmology
https://www.readbyqxmd.com/read/27065314/varicella-zoster-virus-vasculopathy-a-case-report-demonstrating-vasculitis-using-black-blood-mri
#14
Jay Shah, Husain Poonawala, Susan K Keay, Yafell Serulle, Andrew Steven, Dheeraj Gandhi, John W Cole
Infections are rare but important causes of stroke. Among these, varicella zoster virus has been known to cause ischemic stroke. During an attack of herpes zoster ophthalmicus, it has been hypothesized that the virus replicates in the trigeminal ganglion and travels via the trigeminal nerve centrally to cause cerebral vasculopathy. Here we present a case of a 69 year-old Caucasian immunocompromised woman who suffered recurrent ischemic infarcts within the same vascular distribution following an episode of zoster ophthalmicus three months prior...
December 2015: Journal of Neurology & Neurophysiology
https://www.readbyqxmd.com/read/27046033/acute-orbital-syndrome-in-herpes-zoster-ophthalmicus-clinical-features-of-7-cases
#15
Jenny Temnogorod, Renelle Pointdujour-Lim, Ronald Mancini, Shu-Hong Chang, Richard C Allen, Roman Shinder
PURPOSE: To report a series of patients with herpes zoster ophthalmicus and associated acute orbital syndrome with corresponding radiographic findings. METHODS: Medical records of 7 patients with herpes zoster ophthalmicus with acute orbital findings were reviewed. Clinical presentation, radiography, and treatment outcomes were assessed. RESULTS: One man and 6 women with a median age of 70 years (range 47-84) presented with herpes zoster ophthalmicus with acute clinical orbital signs...
April 4, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26989956/corneal-reinnervation-and-sensation-recovery-in-patients-with-herpes-zoster-ophthalmicus-an-in-vivo-and-ex-vivo-study-of-corneal-nerves
#16
Andrea Cruzat, Pedram Hamrah, Bernardo M Cavalcanti, Lixin Zheng, Kathryn Colby, Deborah Pavan-Langston
PURPOSE: To study corneal reinnervation and sensation recovery in Herpes zoster ophthalmicus (HZO). METHODS: Two patients with HZO were studied over time with serial corneal esthesiometry and laser in vivo confocal microscopy (IVCM). A Boston keratoprosthesis type 1 was implanted, and the explanted corneal tissues were examined by immunofluorescence histochemistry for βIII-tubulin to stain for corneal nerves. RESULTS: The initial central corneal IVCM performed in each patient showed a complete lack of the subbasal nerve plexus, which was in accordance with severe loss of sensation (0 of 6 cm) measured by esthesiometry...
May 2016: Cornea
https://www.readbyqxmd.com/read/26928600/orbital-apex-syndrome-secondary-to-herpes-zoster-ophthalmicus
#17
Florent Verhaeghe, Max Villain, Pierre Labauge, Vincent Daien
Orbital apex syndrome is a rare complication of herpes zoster ophthalmicus. In addition to our case, we review the clinical presentation, imaging findings, treatment options, and prognosis of 14 other reported cases. Magnetic resonance imaging of our patient demonstrated diffuse enhancement of the orbit involving the orbital apex, optic nerve and/or nerve sheath, extraocular muscles, and orbital soft tissues. There was significant clinical improvement with acyclovir and systemic corticosteroids, which seems to be preferred treatment for this disorder...
June 2016: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://www.readbyqxmd.com/read/26663773/early-and-late-stage-ocular-complications-of-herpes-zoster-ophthalmicus-in-rural-south-africa
#18
Erik Schaftenaar, Christina Meenken, G Seerp Baarsma, James A McIntyre, Georges M G M Verjans, Remco P H Peters
OBJECTIVES: To describe the spectrum of ocular complications of herpes zoster ophthalmicus (HZO) in rural South Africa. METHODS: Patients presenting with visual complaints and active or healed HZO at the ophthalmology outpatient department of three hospitals in rural South Africa were included in this study. Demographic and clinical data were collected, and HIV status was determined for all participants. RESULTS: Forty-eight patients were included, and 81% were HIV infected...
March 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/26632131/herpes-zoster-ophthalmicus-presenting-as-orbital-abscess-along-with-superior-orbital-fissure-syndrome-a-case-report
#19
Poonam Lavaju, Badri Prasad Badhu, Sangeeta Shah
Orbital abscess and superior orbital fissure syndrome (SOFS) are rare manifestations of herpes zoster ophthalmicus. Herein, we report a case of orbital abscess along with SOFS in a 2.5-year-old-male child secondary to herpes zoster infection. He presented with a 5-day history of proptosis and ptosis of the right eye that had been preceded by vesicular eruptions on the right forehead and scalp. Computed tomography scan of the head and orbit showed orbital abscess and right cavernous sinus thrombosis. A diagnosis of orbital abscess with SOFS secondary to herpes infection was made...
September 2015: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/26407283/a-healthy-2-5-year-old-boy-with-herpes-zoster-ophthalmicus-as-primary-presentation
#20
Sophie Van Aelst, Lore Winters, Karen Janssen, Wim Laffut, Kristin Thibaut
No abstract text is available yet for this article.
December 2015: Journal of the Pediatric Infectious Diseases Society
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