Ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus: A prospective study in a tertiary care teaching hospital, Telangana, India
Background: Herpes zoster ophthalmicus (HZO) is caused by varicella zoster virus and affects the ocular branch of the trigeminal nerve. Aims and Objectives: To investigate the ocular complications and factors affecting visual prognosis in patients with HZO, a Varicella zoster virus infection affe...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2023-08-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/54032 |
| _version_ | 1797765970052251648 |
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| author | Babu Manda Porika Ram Mohan Lal |
| author_facet | Babu Manda Porika Ram Mohan Lal |
| author_sort | Babu Manda |
| collection | DOAJ |
| description | Background: Herpes zoster ophthalmicus (HZO) is caused by varicella zoster virus and affects the ocular branch of the trigeminal nerve.
Aims and Objectives: To investigate the ocular complications and factors affecting visual prognosis in patients with HZO, a Varicella zoster virus infection affecting the ocular branch of the trigeminal nerve.
Materials and Methods: 40 patients meeting the criteria were enrolled in the study, which was conducted at the Department of Ophthalmology, SVS Medical College, Mahbubnagar, Telangana, India.
Results: The study found that more than 50% of HZO patients experienced ocular involvement, and acute corneal lesions, such as punctate and dendriform keratitis, uveitis, and severe post-herpetic discomfort, were associated with lower visual acuity. However, none of the patients in the study experienced posterior segment HZO problems such as acute retinal necrosis or progressive outer retinal necrosis. Older age groups were found to be more likely to experience post-herpetic neuralgia (PHN), which was also associated with nasociliary nerve involvement and vision loss.
Conclusion: The study suggests early treatment with tricyclic antidepressants to aid in the early resolution of PHN. In addition, the study aimed to evaluate the effect of HIV/AIDS on ocular complications in HZO patients but did not report any findings in this regard. |
| first_indexed | 2024-03-12T20:17:47Z |
| format | Article |
| id | doaj.art-a47521fd5601448cb31f41b8f26076c4 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-12T20:17:47Z |
| publishDate | 2023-08-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-a47521fd5601448cb31f41b8f26076c42023-08-02T01:10:44ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-08-01148139147https://doi.org/10.3126/ajms.v14i8.54032Ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus: A prospective study in a tertiary care teaching hospital, Telangana, IndiaBabu Manda 0https://orcid.org/0009-0000-8054-1314Porika Ram Mohan Lal 1https://orcid.org/0009-0006-9089-9647Assistant Professor, Department of Ophthalmology, Government Medical College, Siddipet, Telangana, India Associate Professor, Department of Ophthalmology ,Governmemt Medical College,Suryapet,Telangana,India Background: Herpes zoster ophthalmicus (HZO) is caused by varicella zoster virus and affects the ocular branch of the trigeminal nerve. Aims and Objectives: To investigate the ocular complications and factors affecting visual prognosis in patients with HZO, a Varicella zoster virus infection affecting the ocular branch of the trigeminal nerve. Materials and Methods: 40 patients meeting the criteria were enrolled in the study, which was conducted at the Department of Ophthalmology, SVS Medical College, Mahbubnagar, Telangana, India. Results: The study found that more than 50% of HZO patients experienced ocular involvement, and acute corneal lesions, such as punctate and dendriform keratitis, uveitis, and severe post-herpetic discomfort, were associated with lower visual acuity. However, none of the patients in the study experienced posterior segment HZO problems such as acute retinal necrosis or progressive outer retinal necrosis. Older age groups were found to be more likely to experience post-herpetic neuralgia (PHN), which was also associated with nasociliary nerve involvement and vision loss. Conclusion: The study suggests early treatment with tricyclic antidepressants to aid in the early resolution of PHN. In addition, the study aimed to evaluate the effect of HIV/AIDS on ocular complications in HZO patients but did not report any findings in this regard.https://www.nepjol.info/index.php/AJMS/article/view/54032herpes zoster ophthalmicus; ocular complications; visual outcome |
| spellingShingle | Babu Manda Porika Ram Mohan Lal Ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus: A prospective study in a tertiary care teaching hospital, Telangana, India Asian Journal of Medical Sciences herpes zoster ophthalmicus; ocular complications; visual outcome |
| title | Ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus: A prospective study in a tertiary care teaching hospital, Telangana, India |
| title_full | Ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus: A prospective study in a tertiary care teaching hospital, Telangana, India |
| title_fullStr | Ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus: A prospective study in a tertiary care teaching hospital, Telangana, India |
| title_full_unstemmed | Ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus: A prospective study in a tertiary care teaching hospital, Telangana, India |
| title_short | Ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus: A prospective study in a tertiary care teaching hospital, Telangana, India |
| title_sort | ocular complications and factors affecting visual outcome in herpes zoster ophthalmicus a prospective study in a tertiary care teaching hospital telangana india |
| topic | herpes zoster ophthalmicus; ocular complications; visual outcome |
| url | https://www.nepjol.info/index.php/AJMS/article/view/54032 |
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