Herpes Zoster Dermatitis after Corneal Collagen Cross-Linking with Riboflavin: A Case Report
A middle-aged female presented with complaints of decreased vision in both eyes OD (right eye) > OS (left eye), since 6 months, and eye rubbing. Due to steep keratometry readings on an automated keratometer, pentacam was done, and the findings were suggestive of keratoconus in OD and formefruste...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | TNOA Journal of Ophthalmic Science and Research |
| Subjects: | |
| Online Access: | http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2023;volume=61;issue=4;spage=509;epage=511;aulast=Koya |
| _version_ | 1797226192981458944 |
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| author | Sree Divya Koya Sudhakar Potti Kruti K Shah |
| author_facet | Sree Divya Koya Sudhakar Potti Kruti K Shah |
| author_sort | Sree Divya Koya |
| collection | DOAJ |
| description | A middle-aged female presented with complaints of decreased vision in both eyes OD (right eye) > OS (left eye), since 6 months, and eye rubbing. Due to steep keratometry readings on an automated keratometer, pentacam was done, and the findings were suggestive of keratoconus in OD and formefruste keratoconus in OS. As best corrected visual acuity (BCVA) decreased only since 6 months and pentacam readings were suggestive of keratoconus, the patient was treated with corneal collagen cross-linking with riboflavin (C3R) in OD, to halt the progression. On post-op day 5, the patient presented with erythema, small papulovesicular lesions over the right half of the face and forehead, suggestive of herpetic skin lesions. She was prescribed topical eye drops for post-C3R haze and oral acyclovir for skin lesions, which were regressed within 1 week. Early diagnosis and appropriate treatment of herpes zoster dermatitis prevent worsening of signs and decrease further risk of herpetic keratitis and associated complications. Thus in this case, ultraviolet (UV)-A irradiation acted as a trigger for herpes zoster virus reactivation. |
| first_indexed | 2024-04-24T14:21:01Z |
| format | Article |
| id | doaj.art-f3c1c2af5398472fbdf9daa83dfdd2b3 |
| institution | Directory Open Access Journal |
| issn | 2589-4528 2589-4536 |
| language | English |
| last_indexed | 2024-04-24T14:21:01Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | TNOA Journal of Ophthalmic Science and Research |
| spelling | doaj.art-f3c1c2af5398472fbdf9daa83dfdd2b32024-04-03T06:45:44ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362023-01-0161450951110.4103/tjosr.tjosr_130_22Herpes Zoster Dermatitis after Corneal Collagen Cross-Linking with Riboflavin: A Case ReportSree Divya KoyaSudhakar PottiKruti K ShahA middle-aged female presented with complaints of decreased vision in both eyes OD (right eye) > OS (left eye), since 6 months, and eye rubbing. Due to steep keratometry readings on an automated keratometer, pentacam was done, and the findings were suggestive of keratoconus in OD and formefruste keratoconus in OS. As best corrected visual acuity (BCVA) decreased only since 6 months and pentacam readings were suggestive of keratoconus, the patient was treated with corneal collagen cross-linking with riboflavin (C3R) in OD, to halt the progression. On post-op day 5, the patient presented with erythema, small papulovesicular lesions over the right half of the face and forehead, suggestive of herpetic skin lesions. She was prescribed topical eye drops for post-C3R haze and oral acyclovir for skin lesions, which were regressed within 1 week. Early diagnosis and appropriate treatment of herpes zoster dermatitis prevent worsening of signs and decrease further risk of herpetic keratitis and associated complications. Thus in this case, ultraviolet (UV)-A irradiation acted as a trigger for herpes zoster virus reactivation.http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2023;volume=61;issue=4;spage=509;epage=511;aulast=Koyacorneal collagen cross-linkingdermatomeherpetic rashuv-a irradiation |
| spellingShingle | Sree Divya Koya Sudhakar Potti Kruti K Shah Herpes Zoster Dermatitis after Corneal Collagen Cross-Linking with Riboflavin: A Case Report TNOA Journal of Ophthalmic Science and Research corneal collagen cross-linking dermatome herpetic rash uv-a irradiation |
| title | Herpes Zoster Dermatitis after Corneal Collagen Cross-Linking with Riboflavin: A Case Report |
| title_full | Herpes Zoster Dermatitis after Corneal Collagen Cross-Linking with Riboflavin: A Case Report |
| title_fullStr | Herpes Zoster Dermatitis after Corneal Collagen Cross-Linking with Riboflavin: A Case Report |
| title_full_unstemmed | Herpes Zoster Dermatitis after Corneal Collagen Cross-Linking with Riboflavin: A Case Report |
| title_short | Herpes Zoster Dermatitis after Corneal Collagen Cross-Linking with Riboflavin: A Case Report |
| title_sort | herpes zoster dermatitis after corneal collagen cross linking with riboflavin a case report |
| topic | corneal collagen cross-linking dermatome herpetic rash uv-a irradiation |
| url | http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2023;volume=61;issue=4;spage=509;epage=511;aulast=Koya |
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