眼部帯状疱疹の臨床像

Clinical features of herpes zoster ophthalmicus

（P−1-16）　三叉神経第1枝領域の帯状疱疹87例について，眼病変の発症率と視力の経過を検索した。男性37例，女性50例で，年齢は平均61.8歳であった。眼病変の発症率は，結膜炎68％，強膜炎9％，角膜炎21％，虹彩毛様体炎20％，眼圧上昇6％であった。鼻疹（Hutchinson's sign）は15例17％にあり，鼻疹のある症例では，ない症例よりもすべての眼病変発症率が有意に高かった。眼部帯状疱疹の視力転帰は概して良好であったが，早期にアシクロビル全身投与がされなかった症例，80歳以上の高齢者，鼻疹のある症例では，眼合併症の発症が多かった。

We reviewed the incidence of ocular complications and visual outcome in 87 patients of herpes zoster involving the ophthalmic branch of trigeminal nerve. The series comprised 37 males and 50 females. Their ages averaged 61.8 years. Ocular complications included conjunctivitis 68%, scleritis 9%, keratitis 21%, iridocyclitis 20% and elevated intraocular pressure 6%. Nose eruptions, or Hutchinson's sign, were present in 15 cases (17%) . Patients with nose eruptions showed significantly higher incidences of all items of ocular complications than those without. The final visual outcome was generally favorable. Ocular complications developed more frequently in patients aged 80 years or over, in cases with nose eruptions and in those who did not receive systemic acyclovir during the early stage of the disease.