Reactivation of HSV Described in Patient After Cataract Surgery

Share this content:
Reactivation of HSV Described in Patient After Cataract Surgery
Reactivation of HSV Described in Patient After Cataract Surgery

THURSDAY, March 31, 2016 (HealthDay News) -- In a letter to the editor published online March 24 in Clinical & Experimental Ophthalmology, a case of reactivation of herpes simplex virus (HSV) uveitis is described in a patient with unexplained persistent elevated intraocular pressure (IOP) following intraocular surgery.

Rachel L.Z. Goh, M.B.B.S., from the Royal Victoria Eye and Ear Hospital in Melbourne, Australia, and colleagues describe the case of a 63-year-old man who presented in August 2015 with a 12-day history of high IOP in his right eye following uncomplicated phacoemulsification surgery. At presentation, the IOPs in the right and left eyes were 45 and 16 mm Hg, respectively. The IOP remained elevated despite extensive treatments.

The researchers performed an urgent fornix-based trabeculectomy, with subconjunctival application of Mitomycin C and intravitreal bevacizumab to treat the patient's choroidal neovascularization. An intraoperative sample of aqueous humor was positive for an active HSV1 infection; the patient was treated with a course of oral acyclovir in addition to routine topical post-trabeculectomy medications. The patient's IOP stabilized with routine post-trabeculectomy care over the subsequent three weeks. Acyclovir was reduced to a prophylactic dose.

"We suggest that reactivation of HSV uveitis should be considered in cases of unexplained persistent elevated IOP following uncomplicated intraocular surgery and any suspicion should be confirmed with aqueous sampling," the authors write.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Study Provides Estimates of U.S. Prevalence of Type 1, 2 Diabetes

Study Provides Estimates of U.S. Prevalence of Type ...

Prevalence of type 1 diabetes 0.5 percent, type 2 diabetes 8.5 percent among U.S. adults

Black Individuals at Highest Risk of Legal Intervention Injury

Black Individuals at Highest Risk of Legal Intervention ...

Increase in rates of injuries from 2005 to 2009, followed by a drop to 2015, returning to ~2005 levels

Research Links Doctor Burnout to Patient Safety Incidents

Research Links Doctor Burnout to Patient Safety Incidents

Physician burnout linked to increased risk of patient safety incidents, reduced patient satisfaction

is free, fast, and customized just for you!




Already a member?

Sign In Now »