Abstract
Data taken from 1221 patients attending the Zoster Clinic of Moorfields Eye Hospital over the past 15 years were used to characterise the clinical appearance and behaviour of zoster mucous plaque keratitis (MPK). The typical greyish branching plaques are usually accompanied by a limbitis, stromal keratitis, or decrease in corneal sensation and are commonly associated with cataract, raised intraocular pressure, or corneal ulceration. MPK may begin at any time within two years of onset of the rash, but when it appears after three months there are more complications. Usually MPK settles within one month if appropriate treatment with topical steroids and acetylcysteine drops is given, but surgical intervention is sometimes required to control glaucoma or neuroparalytic keratitis or to remove cataracts. The results of surgery are surprisingly good.
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- Marsh R. J., Fraunfelder F. T., McGill J. I. Herpetic corneal epithelial disease. Arch Ophthalmol. 1976 Nov;94(11):1899–1902. doi: 10.1001/archopht.1976.03910040609004. [DOI] [PubMed] [Google Scholar]
- Marsh R. J. Herpes zoster keratitis. Trans Ophthalmol Soc U K. 1973;93(0):181–192. [PubMed] [Google Scholar]
- Nesburn A. B., Borit A., Pentelei-Molnar J., Lazaro R. Varicella dendritic keratitis. Invest Ophthalmol. 1974 Oct;13(10):764–770. [PubMed] [Google Scholar]
- Pavan-Langston D., McCulley J. P. Herpes zoster dendritic keratitis. Arch Ophthalmol. 1973 Jan;89(1):25–29. doi: 10.1001/archopht.1973.01000040027007. [DOI] [PubMed] [Google Scholar]
- Piebenga L. W., Laibson P. R. Dendritic lesions in herpes zoster ophthalmicus. Arch Ophthalmol. 1973 Oct;90(4):268–270. doi: 10.1001/archopht.1973.01000050270002. [DOI] [PubMed] [Google Scholar]
- Roussel T., Grutzmacher R., Coster D. Patterns of superficial keratopathy. Aust J Ophthalmol. 1984 Nov;12(4):301–316. doi: 10.1111/j.1442-9071.1984.tb01174.x. [DOI] [PubMed] [Google Scholar]
- Samples J. R., Baumgartner S. D., Binder P. S. Infectious crystalline keratopathy: an electron microscope analysis. Cornea. 1985;4(2):118–126. [PubMed] [Google Scholar]