Author/Authors :
Prakash Chaudhary, Kulbhushan Department of Ophthalmology - Indira Gandhi Medical College, Shimla, Himachal Pradesh, India , Mahajan, Deepti Department of Ophthalmology - Indira Gandhi Medical College, Shimla, Himachal Pradesh, India , Panwar, Praveen Department of Ophthalmology - Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
Abstract :
Purpose: Scleritis is a rare presentation of herpes zoster ophthalmicus, complicated most commonly by
iridocyclitis and raised intraocular pressure. These complications can recur in subsequent years, therefore
they should be managed well.
Case Report: We describe a female patient who developed scleritis, complicated cataract and secondary
glaucoma 2 years after being diagnosed by HZO. Secondary glaucoma was managed medically, and the
patient underwent extracapsular cataract extraction for the complicated cataract. Final visual acuity was
6/6 and IOP was 22.4 mm Hg. This is a rare report describing favorable long‑term (>20 years) prognosis
for surgical management of cataract associated with HZO together with scleritis, secondary glaucoma and
post‑herpetic neuralgia.
Conclusion: A favorable outcome may be attained with surgery for complicated cataract associated with
HZO if the condition is managed optimally and intraocular inflammation is well controlled.
Keywords :
Complicated Cataract , Herpes Zoster Ophthalmicus , Post‑herpetic Neuralgia , Secondary Glaucoma , Scleritis
