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Herpes zoster ophthalmicus complicated by complete ophthalmoplegia and signs of pilocarpine hypersensitivity. A case report and literature review.

AbstractWe report a case of zona ophthalmica complicated with a complete ophthalmoplegia. In the literature only 19 cases have been reported the last 30 years, with a variety of possible pathophysiological mechanisms. Our patient's mydriasis reacted to diluted pilocarpine 0.125% which is a sign of Adie's pupil and is not supposed to occur in mydriasis caused by a third nerve palsy. We review the literature on the possible pathogenesis of this hypersensitivity.
AuthorsB Pion, P Salu (Affiliation: Dept. of Ophthalmology, Academic Hospital of the Free University of Brussels, Laarbeeklaan 101, B-1090 Jette. bartpion at hotmail.com)
JournalBulletin de la Société belge d'ophtalmologie (Bull Soc Belge Ophtalmol) Issue 303 Pg. 23-6 ( 2007) ISSN: 0081-0746 Belgium
PMID17894283 (Publication Type: Case Reports, Journal Article, Review)
Chemical References
  • Benzimidazoles
  • methylproamine
  • Acyclovir
  • Pilocarpine
Topics
  • Acyclovir (administration & dosage)
  • Aged
  • Alzheimer Disease (complications)
  • Benzimidazoles (therapeutic use)
  • Drug Hypersensitivity (etiology)
  • Drug Therapy, Combination
  • Female
  • Herpes Zoster Ophthalmicus (complications, drug therapy)
  • Humans
  • Hyperthyroidism (complications)
  • Injections, Intravenous
  • Ophthalmoplegia (etiology)
  • Ovarian Neoplasms (complications)
  • Pilocarpine (therapeutic use)