Favorable long-term prognosis of cataract surgery in herpes zoster ophthalmicus

Purpose: 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. case report: 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. conclusion: 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. © 2016 journal of ophthalmic and vision research.