Comparison of Herpes Zoster Ophthalmicus in Patients 60 Years Older Versus Younger than 60 Years.
10.3341/jkos.2013.54.4.568
- Author:
You Ra KIM
1
;
Nam Chun CHO
;
In Cheon YOU
Author Information
1. Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea. you2ic@paran.com
- Publication Type:Original Article
- Keywords:
Age;
Herpes zoster ophthalmicus;
Hutchinson's sign;
Postherpetic neuralgia;
Pseudodendrite
- MeSH:
Aged;
Conjunctivitis;
Follow-Up Studies;
Herpes Zoster;
Herpes Zoster Ophthalmicus;
Humans;
Incidence;
Medical Records;
Neuralgia;
Neuralgia, Postherpetic;
Uveitis
- From:Journal of the Korean Ophthalmological Society
2013;54(4):568-573
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze and compare the clinical characteristics of patients with herpes zoster ophthalmicus (HZO) by age groups on the basis of the age of 60. METHODS: Medical records of patients with HZO who visited Chonbuk National University Hospital from February 1, 2002 to February 28, 2011 were reviewed. The patients with follow-up of three months or more were divided into two groups: patients under 60 and patients with 60 years old and over. The clinical characteristics between two groups were examined through the analysis of their medical records. RESULTS: Among a total of 63 patients, 29 patients (46%) were under 60 years old, and 34 patients (54%) were 60 years old and over. Incidence of HZO highest in the sixties. The sex and intrusion of each group showed no difference. Younger patients had a higher incidence of pseudodendrite by HZO (86.2% vs. 58.8%, p = 0.014) compared with older patients who showed a higher incidence of post herpetic neuralgia (13.8% vs. 35.3%, p = 0.046). As patients showed Hutchinson's sign, they often had more ocular complications such as pseudodendrite (100% vs. 64.7%, p < 0.05), uveitis (41.7% vs. 7.8%, p = 0.04), and conjunctivitis (100% vs. 90.2%, p = 0.02). CONCLUSIONS: Herpes zoster ophthalmicus shows different clinical characteristics according to patients' age and requires appropriate treatment. Especially elderly patients showing Hutchinson's sign should be treated early and aggressively enough.
