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Bilateral Herpes Simplex Uveitis: Review of the Literature and Own Reports‏.
- Source :
-
Ocular Immunology & Inflammation . August 2017, Vol. 25 Issue 4, p497-502. 6p. - Publication Year :
- 2017
-
Abstract
- <bold>Purpose: </bold>Herpes simplex-associated uveitis is usually considered a unilateral eye disease, and rarely included in the differential diagnosis whenever there is bilateral involvement. We report three cases of bilateral herpetic anterior uveitis.<bold>Methods: </bold>We evaluated three patients who presented with clinical manifestations of bilateral uveitis suggestive of viral origin.<bold>Results: </bold>We found intraocular hypertension, cells in the anterior chamber, paralytic mydriasis, iris atrophy with transillumination defects, and variable anterior vitreous cellularity. According to the clinical findings, supported with herpes-specific antibody titers and aqueous humor PCR results in two of them, they were diagnosed with bilateral anterior herpetic uveitis.<bold>Conclusions: </bold>Our patients were initially misdiagnosed as having non-infectious uveitis and were treated with immunomodulatory medications, which could have favored the extension of infection bilaterally. Although uncommon, bilateral herpetic uveitis should always be considered in the differential diagnoses, when patients present with hypertensive uveitis in both eyes. [ABSTRACT FROM AUTHOR]
- Subjects :
- *UVEITIS
*HERPES simplex keratitis
*DIFFERENTIAL diagnosis
*IMMUNOREGULATION
*EYE inflammation
*IMMUNOSUPPRESSION
*OCULAR hypertension
*DIAGNOSIS
*ANTIVIRAL agents
*EYE diseases
*ANTERIOR chamber (Eye)
*AQUEOUS humor
*COMBINATION drug therapy
*HERPES simplex
*HERPESVIRUSES
*IRIDOCYCLITIS
*IRIS (Eye)
*VIRAL antibodies
*ATROPHY
*VIRAL eye infections
Subjects
Details
- Language :
- English
- ISSN :
- 09273948
- Volume :
- 25
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Ocular Immunology & Inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 125479762
- Full Text :
- https://doi.org/10.3109/09273948.2016.1142572