Herpes zoster ophthalmicus with retrobulbar neuritis. A case report.
In ophthalmic zoster, involvement of the optic nerve is very rare, and most of the published cases have resulted in optic atrophy. This case report presents a woman who developed a severe visual loss in her right eye 4 weeks after the primary attack. Computer tomography and ultrasonic B-scan showed a spindle-shaped thickening of the optic nerve. Eight months later the visual acuity was 2/60 and the optic nerve showed atrophy. The computer tomography was normal, and the Visual Evoked Potential had reduced amplitudes. Earlier reports and pathogenesis are discussed.
D000368:Aged; D005260:Female; D006563:Herpes Zoster Ophthalmicus / Q000150:complications*; D006801:Humans; D009900:Optic Nerve / Q000473:pathology; D009902:Optic Neuritis / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography