Orbital myositis involving the oblique muscles associated with herpes zoster ophthalmicus.
An 81-year-old woman with right orbital inflammation and acute retinal necrosis following Herpes zoster ophthalmicus was evaluated and treated. CT showed right massive superior and inferior oblique enlargement and moderate enlargement of the remaining extraocular muscles with tendon sparing. The myositis and acute retinal necrosis dramatically improved following prednisone and intravenous acyclovir therapy.
Badilla
Jaime
J
Department of Ophthalmology, University of British Columbia, Vancouver, Canada.
Dolman
Peter J
PJ
D000212:Acyclovir / Q000627:therapeutic use; D000369:Aged, 80 and over; D000998:Antiviral Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006563:Herpes Zoster Ophthalmicus / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000821:virology*; D014645:Herpesvirus 3, Human / Q000302:isolation & purification*; D006801:Humans; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging / Q000821:virology*; D016727:Orbital Pseudotumor / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000821:virology*; D011241:Prednisone / Q000627:therapeutic use; D015882:Retinal Necrosis Syndrome, Acute / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D014057:Tomography, X-Ray Computed
D000998:Antiviral Agents; D005938:Glucocorticoids; D011241:Prednisone; D000212:Acyclovir