HERPES & CMV ASSOCIATED GLAUCOMA

 

In a study reported from Sankara Eye Hospital, Bengaluru, India, patients with viral keratouveitis (VKU) and associated glaucoma were analyzed for their clinical features and treatment options.

The retrospective study involved 53 eyes of 55 patients diagnosed with VKU.

64% were males, with the mean age of onset being 45.4 years.

ETIOLOGY OF VKU
84%	Herpes simplex virus (HSV)
16%	Herpes zoster virus (HZV)
4%	Cytomegalovirus (CMV)

 

Common clinical features of VKU induced glaucoma patients:

CLINICAL FEATURES	EYES (%)
Keratic precipitates	70.4%
Corneal edema	66.7%
Elevated IOP (within 24 hours)	44%
Glaucomatous damage	20%

 

Patients with more than 2 episodes of VKU had a significantly higher risk of developing glaucoma (p<0.09).

Most patients were treated with steroids, acyclovir and with medical management of glaucoma. However, 7.2% eyes required glaucoma surgery.

REFERENCE:

Sudhakar P, Menon M, Ck M, Balasubramaniam A. Glaucoma in Viral Keratouveitis: A Retrospective Review at a Tertiary Eye Hospital. J Curr Glaucoma Pract. 2022 Jan-Apr;16(1):65-70. doi: 10.5005/jp-journals-10078-1359. PMID: 36060041; PMCID: PMC9385385.