帶狀疱疹眼病變併發前房出血及玻璃體出血

Herpes Zoster Ophthalmicus Complicated with Hyphema and Vitreous Hemorrhage

我們報告一位76歲帶狀疱疹眼症的男性病患，在輕微葡萄膜炎的情形下，出現前房出血及玻璃體出血的病例。該名病人因為右側帶狀疱疹眼症而住院治療，臨床上可見皮膚有水泡而眼睛只有結膜充血，我們給予靜脈注射acyclovir（250mg，每八小時一次）持續五天，因為症狀好轉所以出院，但是就在停藥出院後的第三天，出現前房出血和玻璃體出血，經再度給予口服acyclovir及類固醇治療後，前房出血及玻璃體出血消帶，病人並無虹彩萎縮或曈孔變形等後遺症。對於年紀較大的病患，免疫能力因為降低，所以靜脈注射acyclovir可能須要持續更長的一段時間。

We report a case of herpes zoster ophthalmicus complicated with mild uveitis in an elderly patient, with subsequent development of hyphema and vitreous hemorrhage. The patient, a 76-year-old man, was admitted for treatment of herpes zoster ophthalmicus in the right eye. Intravenous acyclovir (250 mg, 3 times daily) was given for 5 days, both hyphema and vitreous hemorrhage developed in the right eye 3 days after acyclovir was disconinued. The immune systems of elderly patients may be more compromised than those of younger people, so prolonged treatment with intravenous acyclovir may be necessary.