J Korean Ophthalmol Soc.  2001 Jan;42(1):175-179.

A Case of Herpes Zoster Sine Herpete following Pediatric Penetrating Keratoplasty

• Huh KC
• Jung ES
• Ahn BH
• Kim WJ

Abstract

Herpes zoster ophthalmicus sine herpete(HZSH), which means herpes zoster ophthalmicus(HZO)without skin eruption, is one of the atypical manifestations of varicella-oster virus(VZV)infection. Idiopathic iridocyclitis or acute retinal necrosis without skin lesion secondary to varicella-oster virus are good examples. Diagnosing zoster iridocyclitis without skin eruption is difficult because in the absence of typical skin eruption it is difficult to suspect varicella-zoster virus as the cause of inflammation in the absence of typical skin eruption. We describe here a rare case of a pediatric patient with severe iridocyclitis in a pediatric patient after penetration of keratoplasty in whom VZV DNA was detected using the DNA amplification and polymerase chain reaction(PCR)method. To our best knowledge, this is the first case report of varicella-zoster virus iridocyclitis in a pediatric patient after penetrating keratoplasty.

Keyword

Herpes zoster sine herpete(HZSH); Iridocyclitis; Pediatric PKP; Polymerase chain reaction(PCR)

MeSH Terms

Corneal Transplantation
DNA
Herpes Zoster Ophthalmicus
Herpes Zoster*
Herpesvirus 3, Human
Humans
Inflammation
Iridocyclitis
Keratoplasty, Penetrating*
Retinal Necrosis Syndrome, Acute
Skin
DNA