Severe, permanent orbital disease in herpes zoster ophthalmicus

Orbit
Sumit DhingraAndrew Pearson

Abstract

A 63-year-old man with HZO presented with involvement of cranial nerves II, III, IV, V, and VI, with proptosis, raised intraocular pressure, and chemosis. With the aid of orbital imaging, a diagnosis of orbital apex inflammation secondary to HZO was confirmed, and he was treated with intravenous acyclovir and oral steroids. Despite this, he made a minimal recovery at eight months following presentation. Severe, irreversible orbital disease may develop following HZO, and an ischemic vasculitis may play a role in the pathogenesis of the disease.

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Citations

May 15, 2013·Mayo Clinic Proceedings·Barbara P YawnLinda C Butterfield
Feb 1, 2015·BMC Infectious Diseases·Chun-Yuan LeeYao-Shen Chen
Mar 2, 2016·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Florent VerhaegheVincent Daien
Jun 18, 2017·Ocular Immunology and Inflammation·Jie Jie LimMay May Choo
Dec 3, 2009·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Srinivasan SanjayBenjamin Chong-Ming Chang
Jun 27, 2014·Neuro-ophthalmology·Seyda UgurluSeher Saritepe Imre

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