안부대상포진 환자에서 보인 동공이상 3예

• 영문명: Three Cases of Pupil Abnormality in Herpes Zoster Ophthalmicus
• 발행기관: 대한안과학회
• 저자명: 한정빈 김태기 진경현,Jung Bin Han, MD, Tae Gi Kim, MD, Kyung Hyun Jin, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number9, 1452~1457쪽, 전체 6쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2013.09.15

영문 초록

Purpose: We report the occurrence of pupil abnormality in 3 patients with herpes zoster ophthalmicus. Case summary: Three patients diagnosed with herpes zoster ophthalmicus developed pupil abnormality. (Case 1) A 37-year-old male diagnosed 1 month prior with anterior uveitis secondary to herpes zoster ophthalmicus presented with peripheral corneal erosions, inflammatory cells in the anterior chamber, diffuse iris atrophy, almost fully-dilated pupils, and loss of pupil light reflex in the right eye. (Case 2) A 72-year-old male presented with vesicles on the right side of the face, and dendritic corneal ulcer, and inflammatory cells in the anterior chamber on initial examinations. After 5 days without treatment by his choice, decreased vision, decreased pupil light reflex, and ovoid-shaped pupils developed. (Case 3) A 63-year-old female presented with left ocular pain, vesicles around the left eye, dendritic corneal ulcer, inflammatory cells in the anterior chamber, and isocoric pupils with normal pupil light reflexes. However, in her left eye, the pupillary ruff was partially lost and the pupil was larger than the right pupil after the start of a 3-week treatment regimen. The pupil in Case 2 returned to normal after 1 month, but in cases 1 and 3, no improvements of pupil abnormalities were observed during the follow-up period. Conclusions: Herein we presented 3 patients that were diagnosed with herpes zoster ophthalmicus and subsequently developed pupil abnormalities. In the cases of pupil abnormalities, checking for a history of herpes zoster ophthalmicus is necessary to make a differential diagnosis.

키워드

Herpes zoster ophthalmicus, Iridoplegia, Iris atrophy, Pupil, Uveitis