title: Blindness resulting from orbital complications of ophthalmic zoster.
abstract: Herpes zoster ophthalmicus occurs when the latent varicella zoster virus (VZV) reactivates in the trigeminal ganglion and ophthalmic branch of the trigeminal nerve. In the elderly, there is a sharp increase in the tendency of secondary skin bacterial infections occurrence due to the deterioration of capabilities of self-care and changed sanitation. We present a case of patient who developed phlegmon of the orbit, which resulted with complete unilateral blindness. Varicella zoster virus infection in the elderly may have a severe course due to the progressive weakening of the immune system related to the age. Moreover, skin lesions around the eye socket require special care in prevention of bacterial superinfections due to the extremely high risk of life-threatening complications or disability. Neuralgia resistant to pharmacological treatment present in the course of ophthalmic zoster and difficulty in caring about skin lesions predispose to the occurrence of complications.
authors.affiliation: Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland. Head of the Department: Prof. Sławomir Pancewicz MD, PhD.
authors.forename: Anna
authors.initials: A
authors.lastname: Moniuszko
authors.affiliation: Student Association at the Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland. Head of the Department: Prof. Sławomir Pancewicz MD, PhD.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Sosnowska
authors.affiliation: Student Association at the Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland. Head of the Department: Prof. Sławomir Pancewicz MD, PhD.
authors.forename: Agata
authors.initials: A
authors.lastname: Zajkowska
authors.affiliation: Student Association at the Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland. Head of the Department: Prof. Sławomir Pancewicz MD, PhD.
authors.forename: Adam
authors.initials: A
authors.lastname: Garkowski
authors.affiliation: Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland. Head of the Department: Prof. Sławomir Pancewicz MD, PhD.
authors.forename: Piotr
authors.initials: P
authors.lastname: Czupryna
authors.affiliation: Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland. Head of the Department: Prof. Sławomir Pancewicz MD, PhD.
authors.forename: Sławomir
authors.initials: S
authors.lastname: Pancewicz
authors.affiliation: Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, Bialystok, Poland. Head of the Department: Prof. Sławomir Pancewicz MD, PhD.
authors.forename: Joanna
authors.initials: J
authors.lastname: Zajkowska
keywords: herpes zoster ophthalmicus; phlegmon of the orbit; varicella zoster virus