Herpes zoster keratouveitis with hypopyon and hyphema

Seng Boon Hwei Katherine; You Siang Ngim; Jalaluddin Juliana; Norlina Ramli

doi:10.4103/tjo.tjo_20_18

Herpes zoster keratouveitis with hypopyon and hyphema

Taiwan J Ophthalmol. 2020 Mar 4;10(1):54-57. doi: 10.4103/tjo.tjo_20_18. eCollection 2020 Jan-Mar.

Authors

Seng Boon Hwei Katherine¹, You Siang Ngim¹, Jalaluddin Juliana¹, Norlina Ramli¹

Affiliation

¹ Department of Ophthalmology, University of Malaya Medical Center, Kuala Lumpur, Malaysia.

Abstract

This study aims to report two cases with an uncommon, early manifestation of herpes zoster ophthalmicus which is keratouveitis. The first patient is a 61-year-old female who had presented with painful facial skin eruption and right eye redness without impairment of vision. She was treated initially as herpes zoster blepharoconjunctivitis; however, the disease had progressed to neurotrophic keratitis with severe anterior chamber reaction manifested by a mixture of hypopyon and hyphema. The second patient is a 74-year-old female who had presented after 2 weeks of facial skin eruption with blurring of vision and similar keratouveitic manifestations. Both patients had poor visual outcome due to severe ocular inflammation.

Keywords: Herpes zoster ophthalmicus; hyphema; hypopyon; keratitis; uveitis.

Publication types

Case Reports