Ophthalmoplegia secondary to herpes zoster ophthalmicus.

Abstract

An 80-year-old Caucasian woman had been diagnosed with right herpes zoster ophthalmicus 2 ½ weeks before presentation to our department. Ten days after stopping oral aciclovir, she presented with periorbital pain, visual loss, ptosis and complete ophthalmoplegia. On examination, visual acuity in her right eye was hand movements, with a relative afferent pupillary defect and 2 mm proptosis. MRI demonstrated contrast enhancement within the orbit extending into the apex, suggestive of an inflammatory process. Oral treatment was started with oral aciclovir and corticosteroids for 2 months, when she had resolution of the optic neuropathy and ophthalmoplegia. Vision recovered to 6/9 and repeat neuroimaging revealed regression of the inflammatory process.

• Authors: Marta Ugarte, Sarju Dey, Carole A Jones
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2010 (Nov 19 2010) ISSN: 1757-790X [Electronic] England
• PMID: 22798518 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antiviral Agents
• Acyclovir

Topics

• Acyclovir (therapeutic use)
• Aged, 80 and over
• Antiviral Agents (therapeutic use)
• Diagnosis, Differential
• Female
• Herpes Zoster Ophthalmicus (complications, drug therapy)
• Humans
• Ophthalmoplegia (diagnosis, etiology, virology)