What are the signs and symptoms of herpes zoster ophthalmicus in HIV infection?

Updated: Jun 12, 2019
  • Author: Robert A Copeland, Jr, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

Acute tissue changes may include the following:

  • Eyelids: ptosis, edema, hemorrhagic necrosis

  • Disciform keratitis: appears after 3 weeks of onset of symptom; causes severe visual loss; steroid sensitive

  • Corneal edema: appears after 3 weeks; steroid sensitive

  • Sclerokeratitis: appears after 3 weeks; steroid sensitive

  • Neuropathic keratitis: may occur after 5 days; with ulceration, immediate management is necessary

  • Iritis: may be seen after 5 days, usually steroid sensitive

  • Glaucoma: usually steroid sensitive, and may need antiglaucomatous therapy

  • Retinitis: Systemic antivirals


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