title: Outcomes of cataract surgery in eyes with previous herpes zoster ophthalmicus.
abstract: OBJECTIVE
  To report the outcomes of cataract surgery in eyes with previous herpes zoster ophthalmicus (HZO).
  
  
  METHODS
  Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Eyes with a history of HZO that had phacoemulsification and intraocular lens implantation were reviewed. The information analyzed included the ophthalmologic history, visual acuity, preoperative and postoperative adjunct treatments, and complications. Analysis of the mean corrected distance visual acuity (CDVA) at 1 month, 1 year, and the last follow-up was performed.
  
  
  RESULTS
  Twenty-four eyes were evaluated. The mean CDVA improved from 20/112 (0.75 logMAR ± 0.63 [SD]) preoperatively to 20/53 (0.42 ± 0.56 logMAR) 1 month postoperatively (P = .007) and 20/44 (0.34 ± 0.55 logMAR) at 1 year (P = .052) but decreased to 20/71 (0.55 ± 0.72 logMAR) by last follow-up (P = .605 versus preoperative CDVA). Eleven patients (45.8%) had recurrent keratouveitis after the first episode, 5 before cataract surgery and 6 after cataract surgery. Three had penetrating keratoplasty for worsening corneal opacification. Two patients had tractional retinal detachment from chronic uveitis and required vitrectomy and retinal repair.
  
  
  CONCLUSIONS
  Visual recovery after cataract surgery in HZO might be compromised by chronic factors such as ocular surface disease and keratouveitis. Despite long quiescent waiting periods before surgery and aggressive preoperative and postoperative maintenance therapy, visual improvement might be hindered by the inherent pathology associated with HZO. Nevertheless, with careful patient selection, reasonable visual improvement can be achieved.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Department of Ophthalmology and Visual Sciences (He, de Melo Franco, Kron-Gray, Musch, Soong) and the Department of Epidemiology (Musch), University of Michigan, Ann Arbor, Michigan, USA; Beijing Ophthalmic and Visual Science Key Laboratory (He), Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China; the Department of Ophthalmology (de Melo Franco), Cornea and External Disease Division, Santa Casa de Misericordia, São Paulo, Brazil.
authors.forename: Yan
authors.initials: Y
authors.lastname: He
authors.affiliation: From the Department of Ophthalmology and Visual Sciences (He, de Melo Franco, Kron-Gray, Musch, Soong) and the Department of Epidemiology (Musch), University of Michigan, Ann Arbor, Michigan, USA; Beijing Ophthalmic and Visual Science Key Laboratory (He), Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China; the Department of Ophthalmology (de Melo Franco), Cornea and External Disease Division, Santa Casa de Misericordia, São Paulo, Brazil.
authors.forename: Rafael
authors.initials: R
authors.lastname: de Melo Franco
authors.affiliation: From the Department of Ophthalmology and Visual Sciences (He, de Melo Franco, Kron-Gray, Musch, Soong) and the Department of Epidemiology (Musch), University of Michigan, Ann Arbor, Michigan, USA; Beijing Ophthalmic and Visual Science Key Laboratory (He), Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China; the Department of Ophthalmology (de Melo Franco), Cornea and External Disease Division, Santa Casa de Misericordia, São Paulo, Brazil.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Kron-Gray
authors.affiliation: From the Department of Ophthalmology and Visual Sciences (He, de Melo Franco, Kron-Gray, Musch, Soong) and the Department of Epidemiology (Musch), University of Michigan, Ann Arbor, Michigan, USA; Beijing Ophthalmic and Visual Science Key Laboratory (He), Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China; the Department of Ophthalmology (de Melo Franco), Cornea and External Disease Division, Santa Casa de Misericordia, São Paulo, Brazil.
authors.forename: David C
authors.initials: DC
authors.lastname: Musch
authors.affiliation: From the Department of Ophthalmology and Visual Sciences (He, de Melo Franco, Kron-Gray, Musch, Soong) and the Department of Epidemiology (Musch), University of Michigan, Ann Arbor, Michigan, USA; Beijing Ophthalmic and Visual Science Key Laboratory (He), Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China; the Department of Ophthalmology (de Melo Franco), Cornea and External Disease Division, Santa Casa de Misericordia, São Paulo, Brazil. Electronic address: hksoong@umich.edu.
authors.forename: H Kaz
authors.initials: HK
authors.lastname: Soong
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications / Q000503:physiopathology; D005260:Female; D006563:Herpes Zoster Ophthalmicus / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D015948:Keratoplasty, Penetrating; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D063868:Patient Outcome Assessment; D018918:Phacoemulsification; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D014605:Uveitis / Q000150:complications / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology