以虹膜炎虹膜萎縮及高眼壓症為臨床徵侯之帶狀疱疹眼炎

Chronic Iritis, Iris Atrophy and Glaucoma in Herpes Zoster Ophthalmicus

10.30048/ACTASOS.198805.0111

張由美(Yu-Mei Chung)；郭錦彰(Giien-Chang Guo)；華國泰(Kuo-Tai Hwa)；鄭增加(Tseng-Chia Cheng)；朱雲華(Yun-Hwa Chu)

herpes zoster ophthalmicus chronic iritis ； iris atrophy ； glaucoma

台灣眼科醫學會會刊

27卷2期（1988 / 05 / 01）

618 - 622

繁體中文

榮總眼科收集8例8眼以虹膜炎，局部虹膜萎縮及續發性青光眼為徵候之帶狀疱疹眼炎之病例。所有的病例均可見局部性虹膜萎縮及持續性的虹膜炎。8例中有4例伴有青光眼，其持續時間由2個星期到1年半以上。有4例可在三叉神經分佈區域追溯到有明顯的皮膚病變，其他4例則只有該領域之厲害的神經痛病史。8例中3例有角膜病變，6例有角膜敏感度降低。血中疱疹病毒抗體有5例在發病6個月內測量，除其中1例於4天內測量者為陰性以外全為陽性。視力方面，病例5因嚴重角膜病變視力只有手動感，病例6及7因為白內障而為0.1，病例8則因本身之高度近視而為0.1，其他4眼約為6/7.5。

Chronic iritis ocurrs in about 40% of cases of herpes zoster ophthalmicus with ocular involvement, which may persist for a long time with sectorial iris atrophy and secondary glaucoma. It is emphasized that in herpes zoster ophthalmicus, vesicular skin eruptions over the area innervated by the ophthalmic branch of the trigeminal nerve may be absent or disappeared at the onset of these peculiar manifestations. Eight Chinese patients with chronic iritis, iris atrophy and secondary glaucoma resulting from herpes zoster infection were reported. The clinical features and differential diagnosis were discussed.