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Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 714-715

Herpes zoster masquerading viral endophthalmitis after ozurdex intravitreal implant

1 Retina and Cataract Services, Dhami Eye Care Hospital, Ludhiana, Punjab, India
2 Cornea, Cataract and Refractive Clinic, Dhami Eye Care Hospital, Ludhiana, Punjab, India
3 Cataract and Refractive Clinic, Dhami Eye Care Hospital, Ludhiana, Punjab, India

Correspondence Address:
Dr. Abhinav Dhami
Dhami Eye Care Hospital, 82-b Kitchlu Nagar, Ludhiana, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_3163_21

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A 64-year-old gentleman presented with decreased vision, raised intraocular pressure, and anterior chamber reaction of 1+ with grade 3 vitreous exudates on day 5 after intravitreal Ozurdex® implant. Microbiological culture showed no bacterial or fungal growth. On suspicion of viral endophthalmitis, the patient was started on topical prednisolone, moxifloxacin, atropine, dorzolamide, and timolol eye drops and oral valacyclovir 1 g twice a day for 10 days. On day 9, a vesicular eruption was noted on the left forehead, confirming the diagnosis of herpes zoster-related shingles infection. Complete resolution of inflammation was noted on day 30. This is the first case report highlighting the occurrence of ocular zoster infection after an intravitreal Ozurdex® implant.

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