Zona Pigment Glaucoma: Surgery or Medical Treatment?

Duong Dieu*

Received: July 20, 2018;   Published: July 30, 2018

DOI: 10.26717/BJSTR.2018.07.001497

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Abstract

Hepes Zoster Ophthalmicus (HZO) does not a fatal cause but a blind cause as well as prolonged pain lead to disturbance and difficulty in treatment for patients and may be a marker for AIDS particularly in young persons. Zona Glaucoma or Zona Pigment Glaucoma (ZPG) commonly caused by uveitis with or without blockage pupil or obstructed trabecular meshwork. Accumulation of macrophages in severe inflammation over a short period of time may acutely obstruct the meshwork and result in transient elevation of intraocular pressure in association with exercise of dilation of pupil.

In this paper three typical cases of ZPG were treated. The first was young patient with HIV (+), trabeculectomy was done; the second and third cases were elderly patient HIV (-), without glaucoma surgery. Among of 2 medical treatment cases: one was treated with steroid and the other was treated with antiviral drug. These 3 patients have restored vision and have normalized intraocular pressure, and some satisfying results were reported here after one year follow-up. Some considerations on HZO were discussed in this paper for General Practitioners and Eye Doctors.

Keywords: Zona pigment glaucoma; Trabeculectomy; Medical treatment

ABstract: HZO: Hepes Zoster Ophthalmicus; ZPG: Zona Pigment Glaucoma; ZG: Zona Glaucoma; IOP: Intraocular Pressure; OAG: Open Angle Glaucoma; PCR: Polymerase Chain Reaction

Abstract | Introduction | Cases Report | Discussion | Surgery | Classification and Treatment of Herpetic Neuralgia | Prevention | References |