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herpes zoster ophthalmicus

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https://www.readbyqxmd.com/read/28270112/a-meta-analysis-of-stroke-risk-following-herpes-zoster-infection
#1
Fawziah Marra, Jeremy Ruckenstein, Kathryn Richardson
BACKGROUND: The incidence of herpes zoster (HZ) is increasing and poses a significant health concern to aging populations. Several studies suggest an increased risk of stroke following zoster infection, but the results are conflicting. We conducted a systematic review and meta-analysis to determine if stroke risk is increased following HZ infection. METHODS: A search of MEDLINE, EMBASE, Google scholar, Web of Science, CAB Direct, Cumulative Index to Nursing and Allied Health Literature, and Evidence Based Medicine Reviews was conducted for observational studies of adults with HZ infection that examined stroke and TIA risk from January 1, 1966 to May 31, 2016...
March 7, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28248918/stroke-associated-with-varicella-zoster-vasculopathy-a-clinicoradiological-profile-of-3-patients
#2
Pradeep K Maurya, Dinkar Kulshreshtha, Ajai K Singh, Anup K Thacker
INTRODUCTION: Varicella zoster (VZ) vasculopathy is a rare but well recognized cause of stroke. In the absence of zoster rash and infection in remote past, the disease can pose diagnostic challenge. We report 3 cases of anterior circulation stroke occurring in close temporal relation to VZ. Their clinical, radiologic, and angiographic features are discussed. CASE REPORT: Of the 3 patients, 2 had stroke within a span of 4 to 6 weeks of herpes zoster ophthalmicus while the third patient had zoster of cervical dermatome...
March 2017: Neurologist
https://www.readbyqxmd.com/read/28237946/orbital-apex-syndrome-as-a-complication-of-herpes-zoster-ophthalmicus
#3
Anjali Chandrasekharan, Uppal Gandhi, Akshay Badakere, Virender Sangwan
Orbital apex syndrome is a rare neuro-ophthalmic manifestation of herpes zoster virus infection. We report one such case with favourable outcome in an immunocompetent patient. A 60-year-old woman presented with rash in the dermatome of the left ophthalmic nerve (V1), followed by sudden loss of vision with complete left-sided external and internal ophthalmoplegia. MRI of brain and orbits with contrast revealed optic perineuritis and myositis without intracranial involvement confirming the diagnosis of orbital apex syndrome...
February 24, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28061417/concurrent-hyphema-and-orbital-apex-syndrome-following-herpes-zoster-ophthalmicus-in-a-middle-aged-lady
#4
Khairuddin Othman, Li Min Evelyn-Tai, Mohd Noor Raja-Azmi, Muhammed Julieana, Ahmad Tajudin Liza-Sharmini, John Tharakan, Alwi Muhd Besari, Embong Zunaina, Ismail Shatriah
INTRODUCTION: Hyphema and orbital apex syndrome occurring concurrently in a patient with herpes zoster ophthalmicus have not been reported previously. We present a case with these unique findings and discuss the pathogenesis of these conditions and their management. PRESENTATION OF CASE: A 59-year-old Malay lady with underlying diabetes mellitus presented with manifestations of zoster ophthalmicus in the left eye. Two weeks later, she developed total hyphema, and complete ophthalmoplegia suggestive of orbital apex syndrome...
December 21, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28017286/diagnosis-and-management-of-herpes-zoster-ophthalmicus
#5
REVIEW
Erik Anderson, Robert J Fantus, Ramez I Haddadin
No abstract text is available yet for this article.
December 22, 2016: Disease-a-month: DM
https://www.readbyqxmd.com/read/28005810/a-rare-patient-with-orbital-apex-syndrome-anterior-uveitis-and-necrotizing-scleritis-due-to-herpes-zoster-ophthalmicus
#6
Erdinc Aydin, Melike Balikoglu-Yilmaz, Seher Saritepe Imre, Feray Koc, Levent Kazanci, Arif Taylan Ozturk
The purpose of this study was to describe a patient of orbital apex syndrome, anterior uveitis, secondary glaucoma, corneal dellen, and necrotizing scleritis following an attack of herpes zoster ophthalmicus, and the placement of a pericardial patch graft. A 64-year-old male patient with blepharoptosis of his right eye and multiple vesicles on the forehead, nose and cheeks, limitation on all gazes, blepharoptosis, and exophthalmia was eventually diagnosed with ophthalmic zona with orbital apex syndrome. After the treatment with systemic antiviral and steroid, there was complete recovery of the unilateral vesicular eruption, ophthalmoplegia, and ptosis at the third month follow-up...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27911430/-clinical-presentations-of-herpes-zoster-ophthalmicus-diagnosis-and-therapy
#7
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
#8
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
#9
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
#10
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
#11
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...
March 2017: Cornea
https://www.readbyqxmd.com/read/27711168/initial-presentation-sites-as-predictors-of-herpes-zoster-complications-a-nationwide-cohort-study
#12
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
#13
REVIEW
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...
January 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/27504322/a-rare-case-of-orbital-apex-syndrome-in-herpes-zoster-ophthalmicus
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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