TY - JOUR T1 - İmmunkompetan Yaşlı Hastada Gelişen Herpes Zoster Oftalmikus: Olgu Sunumu TT - Herpes Zoster Ophthalmicus In An Immunocompetent Elderly Patient: Case Report AU - Alkan Çeviker, Sevil AU - Günal, Özgür AU - Kılıç, Süleyman Sırrı AU - Köksal, Eda AU - Aygün, Cemanur PY - 2019 DA - August Y2 - 2019 JF - Medical Journal of Western Black Sea JO - Med J West Black Sea PB - Zonguldak Bülent Ecevit Üniversitesi WT - DergiPark SN - 2822-4302 SP - 61 EP - 65 VL - 3 IS - 2 LA - tr AB - Herpes zoster enfeksiyonları, immunsupresif bireyler ile 45 yaşüstündekilerde daha sık görülür. Tüm Herpes zoster vakalarının%10-20’sini Herpes Zoster Oftalmikus vakaları oluşturur. HerpesZoster Oftalmikus’un körlüğün önemli nedenlerinden biri olduğubildirilmektedir. Herpes Zoster Oftalmikus tanılı olgumuz, bilinenimmunsupresyonu olmayan risk faktörü olarak sadece ileri yaşı olanhasta olup, bu durum oldukça nadir görülmektedir. Sunulan bu olguile; Herpes Zoster Oftalmikus hastalığının erken tanısı ve topikaltedaviye ilaveten sistemik antiviral tedavi ile kalıcı görme kaybınıönlenebileceğini vurgulamayı amaçladık. KW - Herpes Zoster KW - Herpes Zoster Oftalmikus KW - İmmunkompetan yaşlı hasta. N2 - Herpes zoster infections are more common in immunosuppressiveindividuals and those over 45 years of age. 10-20% of all Herpeszoster cases are Herpes Zoster Ophthalmicus cases. Herpes ZosterOphthalmicus is reported to be one of the major causes of blindness.Our patient with herpes zoster ophthalmicus is a patient withadvanced age as a risk factor without known immunosuppression andthis is very rare. In this case report, we aimed to emphasize that earlydiagnosis of Herpes Zoster Ophthalmicus disease and systemicantiviral treatment in addition to topical treatment can preventpermanent visual loss CR - 1. Topçu W. A., Söyletir G. ve Doğanay M. Enfeksiyon Hastalıkları ve Mikrobiyolojisi. 4.baskı. Nobel Tıp Kitabevleri. 2017: 1474-1478. CR - 2. Liesegang TJ. Herpes zoster ophthalmicus natural history, risk factors, clinical presentation, and morbidity. Ophthalmology. 2008; 115: 3–12. CR - 3. Marra F., Chong M. and Najafzadeh M. Increasing incidence associated with herpes zoster infection in British Columbia, Canada. BMC Infect Dis. 2016; 16: 589. CR - 4. Schmader K. Herpes zoster. Clin Geriatr Med. 2016; 32: 539–353. CR - 5. Marin M., et al. Risk factors for herpes zoster among adults. Open Forum Infect Dis. 2016; 3:119. CR - 6. Kwok TSH., Daneman N., and Lake SL. Headache and vision changes in an elderly man with rheumatoid arthritis. Int J Rheum Dis. 2019;22(7):1331-1334. CR - 7. Arvin A. Aging, immunity and the varicella zoster virus. NEJM. 2005; 352: 2266-7. CR - 8. Thomas SL. and Hall AJ. What does epidemiology tell us about risk factors for herpes zoster? Lancet Infect Dis. 2004; 4: 26-33. CR - 9. Vrcek I., Choudhury E. and Durairaj V. Herpes Zoster Ophthalmicus: A Review for the Internist. Am J Med. 2017;130(1):21–26. CR - 10. Hutchinson J. A clinical report on herpes zoster ophthalmicus (shingles affecting the forehead and nose). Trans Am Ophthalmol Soc. 1942; 40:390- 439. CR - 11. Sjaastad O. et al. Shortlasting unilateral neuralgiform headache attacks with conjunctival injection, tearing, sweating, and rhinorrhea. Cephalalgia 1989; 9:147–156. CR - 12. Akpinar ÇK. ve ark. Herpes Zoster Ophthalmicus That Mimics the SUNCT Syndrome. Noro Psikiyatr Ars. 2016; 53(2):184-185. CR - 13. Sengupta, S. Cutaneous herpes zoster. Curr Infect Dis Rep. 2013; 15: 432–439. CR - 14. Woznowski M. et al. Fulminant staphylococcus lugdunensis septicaemia following a pelvic varicella-zoster virus infection in an immune- deficient patient: a case report. Eur J Med Res. 2010; 15: 410–414. CR - 15. Sanjay S. et all. Complete unilateral ophthalmoplegia in herpes zoster ophthalmicus. J Neuroophthalmol. 2009; 29(4): 325-337. CR - 16. Werner RN, et al. European consensus-based (S2k) Guideline on the Management of Herpes Zoster - guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV), Part 2: Treatment. J Eur Acad Dermatol Venereol. 2017;31(1):20-29. CR - 17. Tran KD., et al. Epidemiology of herpes zoster ophthalmicus: recurrence and chronicity. Ophthalmology. 2016; 123: 1469–1475. CR - 18. Hales, C.M., et al. Update on recommendations for use of herpes zoster vaccine. MMWR Morb Mortal Wkly Rep. 2014; 63: 729–731. UR - https://dergipark.org.tr/tr/pub/mjwbs/issue//521477 L1 - https://dergipark.org.tr/tr/download/article-file/797121 ER -