Evidence map›Paper›PMID 39612023›Full record

ArticleInternational ophthalmology2024

Changing age pattern and diverse outcomes of herpes zoster ophthalmicus: exploring the temporal trend, decrease in incident age and influence of treatment strategies.

Sakshi Dahmiwal, Priyanka, Nikhila C Jain, Rajamathangi S, Kanika Singh, Shuaib Ahmed Siddiqui, Bhavana Sharma

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Article in International ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sakshi DahmiwalDepartment of Ophthalmology, All India Institute of Medical Sciences, Madhya Pradesh, Bhopal, 462020, India.
PriyankaDepartment of Ophthalmology, All India Institute of Medical Sciences, Madhya Pradesh, Bhopal, 462020, India.
Nikhila C JainDepartment of Ophthalmology, All India Institute of Medical Sciences, Madhya Pradesh, Bhopal, 462020, India.
Rajamathangi SDepartment of Ophthalmology, All India Institute of Medical Sciences, Madhya Pradesh, Bhopal, 462020, India.
Kanika SinghDepartment of Ophthalmology, All India Institute of Medical Sciences, Madhya Pradesh, Bhopal, 462020, India.
Shuaib Ahmed SiddiquiDepartment of Ophthalmology, All India Institute of Medical Sciences, Madhya Pradesh, Bhopal, 462020, India.
Bhavana SharmaDepartment of Ophthalmology, All India Institute of Medical Sciences, Madhya Pradesh, Bhopal, 462020, India. drbhavana_s@yahoo.co.in.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHerpes Zoster Ophthalmicus (HZO) is a disease commonly affecting the elderly and immunocompromised. Over the last several years, a trend towards decreasing incident age, albeit with varying clinical features, has been observed. This temporal trend towards the younger age group necessitates a detailed evaluation to determine possible causes of its occurrence in this population.

methodThis is a hospital-based retrospective study. 154 datasheets were initially identified. After excluding non-relevant data sheets (88), 56 relevant and complete records were subjected to comprehensive analysis in adherence to the inclusion criteria.

resultsMost commonly affected age group was < 40 years, with the mean age being 38. Conjunctivitis was the most frequent occurrence seen in 82.05%. Keratitis was seen in varying forms as, epithelial (64.44%), stromal (15.3%) & nummular (3.57%). Anterior uveitis in 35.89%, posterior uveitis (retinitis, neuro-retinitis) in 7.69% of cases, posterior segment involvement (rhegmatogenous retinal detachment, optic atrophy) in 8.8%, secondary glaucoma in 28.2%, optic neuritis in 5.3% while orbital apex and cavernous sinus involvement were seen in one case.

conclusionThis study reflects a temporal shift in the incidence of HZO towards the younger age group. The proportion of younger patients with HZO is increasing with some male preponderance. Identifiable factors contributing to potential risk, recurrence, and chronicity of HZO are related to demographics, immune status, dietary, environmental associations, vaccination status, and previous history of recurrences. Reported outcomes can be valuable in understanding the evolving patterns of HZO and improving patient care, public health and vaccination policies.

Indexed as

Herpes Zoster OphthalmicusAdolescentAdultAgedAged, 80 and overAge DistributionAntiviral AgentsChildEye Infections, ViralFemaleHumansIncidenceIndiaMaleMiddle AgedRetrospective StudiesAntiviral AgentsAgeComplicationsHerpes zosterRisk factors

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.