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Herpetic Panophthalmitis: A Diagnostic Dilemma.
Purpose : To describe an uncommon presentation of ocular infection caused by human herpes simplex virus 2 (HSV-2). Methods : Case report. Results : A 32-year-old female with no prior history of mucocutaneous herpesvirus infection presented with a minimally painful hypertensive granulomatous panophthalmitis and optic neuropathy that was initially suspected to be orbital cellulitis. Her disease progressed despite antibiotic and steroid treatment, and HSV-2 was ultimately identified in the vitreous. Conclusion : Although rare, ocular infection by human herpesvirus can present as a panophthalmitis. The case is discussed in the context of two previously reported cases of herpes simplex panophthalmitis, as well panophthalmitis caused by varicella zoster virus.
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