[Complete ophthalmoplegia following outburst of herpes zoster].
An 86-year-old female presented with eye pain, complete ophthalmoplegia, a visual acuity of 1/60, vitritis, ptosis, displacement of the eye, and a partially dilated pupil unresponsive to light. A computed tomography of the cerebrum was normal. Herpes zoster ophthalmicus was suspected and treatment with i.v. acyclovir and prednisolone was commenced, which led to a gradual improvement of the clinical condition. Complete ophthalmoplegia due to herpes zoster ophthalmicus is a very rare condition and no evidence-based treatment is available. The prognosis is very good with almost complete remission of the symptoms within 18 months.
Øjenafdelingen, Regionshospitalet Holstebro, Denmark. sorensolborg@gmail.com
Søren Solborg
SS
Bjerrum
Anders
A
Hessellund
D000212:Acyclovir / Q000008:administration & dosage / Q000627:therapeutic use; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000998:Antiviral Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001241:Aspirin / Q000008:administration & dosage / Q000627:therapeutic use; D005128:Eye Diseases / Q000473:pathology; D005260:Female; D006563:Herpes Zoster Ophthalmicus / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D014645:Herpesvirus 3, Human; D006801:Humans; D009886:Ophthalmoplegia / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D009887:Ophthalmoscopy; D011239:Prednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D014822:Vitreous Body / Q000473:pathology
D000893:Anti-Inflammatory Agents; D000998:Antiviral Agents; D011239:Prednisolone; D001241:Aspirin; D000212:Acyclovir