Herpes zoster keratitis development after acute retinal necrosis

Waseem H Ansari; Francesco Pichi; Paula E Pecen; Careen Y Lowder; Sunil K Srivistava

doi:10.1007/s10792-017-0521-7

Herpes zoster keratitis development after acute retinal necrosis

Int Ophthalmol. 2018 Apr;38(2):829-832. doi: 10.1007/s10792-017-0521-7. Epub 2017 Apr 22.

Authors

Waseem H Ansari¹, Francesco Pichi², Paula E Pecen³, Careen Y Lowder², Sunil K Srivistava²

Affiliations

¹ Cleveland Clinic Foundation, Cole Eye Institute, 9500 Euclid Avenue Mail Code i13, Cleveland, OH, 44195, USA. Ansariw@ccf.org.
² Cleveland Clinic Foundation, Cole Eye Institute, 9500 Euclid Avenue Mail Code i13, Cleveland, OH, 44195, USA.
³ Department of Ophthalmology, University of Colorado School of Medicine, 1675 Aurora Court, F731, Aurora, CO, 80045, USA.

PMID: 28434069
DOI: 10.1007/s10792-017-0521-7

Abstract

Purpose: To report a case of herpes zoster keratitis in a patient undergoing treatment for herpetic acute retinal necrosis.

Methods: Case report.

Results: A 71 year old male presented with acute retinal necrosis of the left eye due to herpes zoster and was treated with intravitreal foscarnet and oral valcyclovir. He developed a retinal detachment and underwent surgical repair. After four weeks, he developed an ipsilateral herpetic zoster keratitis demonstrated by Rose-Bengal staining that was responsive to topical ganciclovir gel.

Conclusions: This case report describes the unusual development of herpes zoster keratitis after the development of unilateral acute retinal necrosis (ARN) in a patient on antiviral treatment.

Keywords: Acute retinal necrosis; Acyclovir resistance; Herpes zoster keratitis.

Publication types

Case Reports

MeSH terms

Aged
Antiviral Agents / administration & dosage
Ganciclovir / administration & dosage
Herpes Zoster Ophthalmicus / complications*
Humans
Keratitis / etiology*
Male
Retinal Detachment / etiology
Retinal Necrosis Syndrome, Acute / etiology*

Substances

Antiviral Agents
Ganciclovir