MSD priručnik dijagnostike i terapije: Očni herpes zoster

MSD priručnik dijagnostike i terapije: Očni herpes zoster

It is now more than 30 years since the received wisdom2 of routine topical steroid use in zoster uveitis was shown to be inferior to that of topical acyclovir (ACV) in randomised controlled trials.3 High-dose oral ACV is even more effective. Depending on the exact part of th posterior part of the eye involved, other terms used may include retinitis, choroiditis, pars planitis, intermediate uveitis, retinal vasculitis. Iritis is the more common form of uveitis and frequently manifests in young to middle-aged individuals. The probable etiology for occurrence of these uncommon phenomena has been postulated. Results: : The medical files of 153 patients were analysed. All patients received an information letter, informed consent form, National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25), Beck Depression Inventory (BDI-II), Social Support List – Interactions (SSL-I), Social Support List – Discrepancies (SSL-D) and an additional questionnaire for gathering general information. Liječi se antivirusnim lijekovima na usta, midrijaticima i lokalnom primjenom kortikosteroida.
MSD priručnik dijagnostike i terapije: Očni herpes zoster

Hypercalcaemia associated with cancer. In 61 patients, IOP values are first 32.9 mmHg (SD: 9.0), highest 36.6 mmHg (SD: 9.9), 3 months after the first episode 19.54 mmHg (SD: 9.16), and end of follow-up 15.5 mmHg (SD: 6.24). U akutnom stadiju bolesti, osim osipa na čelu može postojati edem kapka, spojnična, episkleralna i cirkumkornealna hiperemija, edem rožnice, epitelni i stromalni keratitis, uveitis, glaukom i bol. Keratitis praćen uveitisom može biti jak uz kasnije ožiljkavanje. 3. Dijagnoza se zasniva na tipičnom akutnom herpes zoster osipu na čelu ili na odgovarajućoj anamnezi i kasnim, atrofičnim promjenama na čelu. Herpetične promjene ovog rasporeda koje još ne zahvaćaju oko ukazuju na značajnu opasnost i trebale bi potaknuti savjetovanje s oftalmologom prije nego što oko bude zahvaćeno.

HSV-2 and EBV were not identified in this group of patients. The prevalence of depression in our group of herpetic AU patients was low and therefore does not seem to indicate a need for specific screening and intervention measures in these patients. Za razliku od bolesnika s infekcijom herpes simplexom, bolesnici s keratitisom ili uveitisom uslijed oftalmičnog herpes zostera treba liječiti lokalnom primjenom kortikosteroida (npr. COLLAGEN DISEASES: During an exacerbation or as maintenance therapy in selected cases of: Systematic lupus erythematosus. Elevated IOP can be acute or chronic and both presentations can lead to optic nerve damage and visual field defect in glaucoma secondary to hypertensive uveitis. Očni tlak se mora nadzirati i liječiti ako se poveća iznad normalnih vrijednosti.

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