Herpes zoster stromal disciform keratitis associated with endotheliitis in a 35-week pregnant woman

Abstract

Herpes zoster keratitis is a common manifestation of the varicella zoster virus. The active virus can cause epithelial keratitis early in the disease course, meanwhile later in the disease course, an inflammatory response can cause stromal or endothelial keratitis. A middle-aged pregnant woman exhibited classic ocular signs associated with Herpes's stromal disciform keratitis of the left eye, including focal disk-shaped edema, descemet's folds, keratic precipitates, diminished corneal sensations, and Wessley's immune ring. The patient was symptomatic with severe left eye pain, lacrimation, photophobia, and hand-motion visual acuity. To the best of our knowledge, this case represents the first report and an interesting favorable outcome of herpes zoster stromal disciform keratitis management in an Indigenous Australian.