title: Favorable Long-term Prognosis of Cataract Surgery in Herpes Zoster Ophthalmicus.
abstract: OBJECTIVE
  Scleritis is a rare presentation of herpes zoster ophthalmicus, complicated most commonly by iridocyclitis and raised intraocular pressure. These complications can recur in subsequent years, therefore they should be managed well.
  
  
  METHODS
  We describe a female patient who developed scleritis, complicated cataract and secondary glaucoma 2 years after being diagnosed by HZO. Secondary glaucoma was managed medically, and the patient underwent extracapsular cataract extraction for the complicated cataract. Final visual acuity was 6/6 and IOP was 22.4 mm Hg. This is a rare report describing favorable long-term (>20 years) prognosis for surgical management of cataract associated with HZO together with scleritis, secondary glaucoma and post-herpetic neuralgia.
  
  
  CONCLUSIONS
  A favorable outcome may be attained with surgery for complicated cataract associated with HZO if the condition is managed optimally and intraocular inflammation is well controlled.
authors.affiliation: Department of Ophthalmology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: Kulbhushan Prakash
authors.initials: KP
authors.lastname: Chaudhary
authors.affiliation: Department of Ophthalmology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: Deepti
authors.initials: D
authors.lastname: Mahajan
authors.affiliation: Department of Ophthalmology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: Praveen
authors.initials: P
authors.lastname: Panwar
keywords: Complicated Cataract; Herpes Zoster Ophthalmicus; Post-herpetic Neuralgia; Scleritis; Secondary Glaucoma