Herpes zoster stromal disciform keratitis associated with endotheliitis in a 35-week pregnant woman

Herpes zoster keratitis is a common manifestation of the varicella zoster virus. The active virus can cause epithelial keratitis early in the disease course, meanwhile later in the disease course, an inflammatory response can cause stromal or endothelial keratitis. A middle-aged pregnant woman exhibited classic ocular signs associated with Herpes's stromal disciform keratitis of the left eye, including focal disk-shaped edema, descemet's folds, keratic precipitates, diminished corneal sensations, and Wessley's immune ring. The patient was symptomatic with severe left eye pain, lacrimation, photophobia, and hand-motion visual acuity. To the best of our knowledge, this case represents the first report and an interesting favorable outcome of herpes zoster stromal disciform keratitis management in an Indigenous Australian.

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Publication Details

Journal
Journal of Surgical Case Reports
Published
2025-03-29
DOI
https://doi.org/10.1093/jscr/rjaf219
Primary Topic
Ocular Diseases and Behçet’s Syndrome
Type
article
Field-Weighted Citation Impact
0.00
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article

Herpes zoster stromal disciform keratitis associated with endotheliitis in a 35-week pregnant woman

Stephen O’Hagan, Jonas Akambase, C. Gunaratnam, Brian Todd
Journal of Surgical Case Reports
Ocular Diseases and Behçet’s Syndrome
article

Herpes zoster stromal disciform keratitis associated with endotheliitis in a 35-week pregnant woman

Stephen O’Hagan, Jonas Akambase, C. Gunaratnam, Brian Todd
article en

Abstract

Herpes zoster keratitis is a common manifestation of the varicella zoster virus. The active virus can cause epithelial keratitis early in the disease course, meanwhile later in the disease course, an inflammatory response can cause stromal or endothelial keratitis. A middle-aged pregnant woman exhibited classic ocular signs associated with Herpes's stromal disciform keratitis of the left eye, including focal disk-shaped edema, descemet's folds, keratic precipitates, diminished corneal sensations, and Wessley's immune ring. The patient was symptomatic with severe left eye pain, lacrimation, photophobia, and hand-motion visual acuity. To the best of our knowledge, this case represents the first report and an interesting favorable outcome of herpes zoster stromal disciform keratitis management in an Indigenous Australian.

Journal of Surgical Case ReportsVol. 2025(4)
Cairns Hospital (AU)
Openalex Percentile: Top 87%
Ocular Diseases and Behçet’s Syndrome
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