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Herpes zoster keratouveitis with hypopyon and hyphema

 Department of Ophthalmology, University of Malaya Medical Center, Kuala Lumpur, Malaysia

Correspondence Address:
Seng Boon Hwei Katherine,
Department of Ophthalmology, University of Malaya Medical Center, Jalan Universiti, Kuala Lumpur 50603
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_20_18

This study aims to report two cases with an uncommon, early manifestation of herpes zoster ophthalmicus which is keratouveitis. The first patient is a 61-year-old female who had presented with painful facial skin eruption and right eye redness without impairment of vision. She was treated initially as herpes zoster blepharoconjunctivitis; however, the disease had progressed to neurotrophic keratitis with severe anterior chamber reaction manifested by a mixture of hypopyon and hyphema. The second patient is a 74-year-old female who had presented after 2 weeks of facial skin eruption with blurring of vision and similar keratouveitic manifestations. Both patients had poor visual outcome due to severe ocular inflammation.

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