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A case of herpes zoster iritis followed by sympathetic ophthalmia after cataract surgery Nobuko Takemiya 1 , Mikiko Kanno 1 , Kazuya Inamochi 2 1Department of Ophthalmology, Kawakita General Hospital 2Department of Ophthalmology, Tokyo Metropolitan Police Hospital pp.1369-1375
Published Date 2017/9/15
DOI https://doi.org/10.11477/mf.1410212400
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Abstract Purpose:To report a case who developed herpes zoster iritis followed by sympathetic ophthalmia after cataract surgery.

Case:A 72-year-old female was referred for iritis and elevated intraocular pressure in the left eye. She had received cataract surgery in both eyes 2 months before.

Finding and Clinical Course:Corrected visual acuity was 1.2 right and 0.7 left. Intraocular pressure(IOP) was 8 mmHg right and 22 mmHg left. The left eye showed findings of iritis with fibrin formation, suggesting postoperative endophthalmitis. She received exchange of intraocular lens and vitrectomy in the left eye 3 days later. Anterior uveitis recurred 11 days later with elevated IOP. The left eye was treated by trabeculectomy and vitrectomy. Varicella zoster virus DNA was detected in the anterior chamber fluid and antiviral therapy was started. After temporary improvement, both eyes developed uveitis with choroidal detachment. She was diagnosed with sympathetic ophthalmia and received pulse steroid therapy. The inflammation subsided 2 months later with visual acuity of 1.2 in either eye.

Conclusion:This case illustrates that multiple intraocular surgery may be followed by sympathetic ophthalmia.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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