Unilateral total ophthalmoplegia with proptosis and loss of vision in a patient of Herpes Zoster Ophthalmicus: A rare case report
DOI:
https://doi.org/10.66344/jpad.v32i2.1905Abstract
Herpes zoster Ophthalmicus accounts for a minority of all patients with zoster infections. It leads to varied clinical presentations, but total unilateral ophthalmoplegia has rarely been reported in the literature. We hereby present a 50-year-old male patient presenting with the above combination for aiding the clinical diagnosis by dermatologists and ophthalmologists. Early initiation of treatment leads to a near total recovery of ophthalmoplegia in the majority of treated patients.
References
1. Davis A, Sheppard J. Herpes Zoster Ophthalmicus Review and Prevention. Eye Contact Lens. 2019;45(5):286-91.
2. Horton JC. Neurovisual manifestations of herpesviruses. Int Ophthalmol Clin. 2002;42(1):33-41
3. Sanjay S, Chan EW, Gopal L, Hegde SR, Chang BC. Complete unilateral ophthalmoplegia in herpes zoster ophthalmicus. J Neuroophthalmol. 2009;29(4):325-37.
4. Zerboni L, Sen N, Oliver SL, Arvin AM. Molecular mechanisms of varicella-zoster virus pathogenesis. Nat Rev Microbiol. 2014;12(3):197-210.
5. Shaikh S, Ta CN. Evaluation and management of herpes zoster ophthalmicus. Am Fam Physician. 2002;66:1723-30.
6. Liesegang TJ. Herpes zoster ophthalmicus natural history, risk factors, clinical presentation, and morbidity. Ophthalmology. 2008;115(2 Suppl):S3-12.
7. Catron T, Hern HG. Herpes zoster ophthalmicus. West J Emerg Med. 2008;9:174-6.
8. Ragozzino MW, Melton LJ, 3d, Kurland LT, Chu CP, Perry HO. Population-based study of herpes zoster and its sequelae. Medicine. 1982;61:310-16
9. Horton JC. Neurovisual manifestations of herpesviruses. Int Ophthalmol Clin. 2002;42:33241.
10. Edgerton AE. Herpes zoster ophthalmicus: report of cases and a review of the literature. Trans Am Ophthalmol Soc. 1942;40:3902439.
11. Lexa FJ, Galetta SL, Yousem DM, et al. Herpes zoster ophthalmicus with orbital pseudotumor syndrome complicated by optic nerve infarction and cerebral granulomatous angiitis: MR-pathologic correlation. AJNR Am J Neuroradiol. 1993;14:185-90.
12. Naumann G, Gass JD, Font RL. Histopathology of herpes zoster ophthalmicus. Am J Ophthalmol. 1968;65:533-41.
13. Zaal MJ, Völker-Dieben HJ, D’Amaro J. Prognostic value of Hutchinson’s sign in acute herpes zoster ophthalmicus. Graefes Arch Clin Exp Ophthalmol. 2003;241:187-91.
14. Harding SP, Lipton JR, Wells JC. Natural history of herpes zoster ophthalmicus: predictors of postherpetic neuralgia and ocular involvement. Br J Ophthalmol. 1987;71:353.
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Copyright (c) 2022 Tulika Gupta, Shikhar Ganjoo, Neeraj Sharma, Harvinder, Ashok Kumar Khurana
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