title: A Rare Patient With Orbital Apex Syndrome, Anterior Uveitis, and Necrotizing Scleritis Due to Herpes Zoster Ophthalmicus.
abstract: The purpose of this study was to describe a patient of orbital apex syndrome, anterior uveitis, secondary glaucoma, corneal dellen, and necrotizing scleritis following an attack of herpes zoster ophthalmicus, and the placement of a pericardial patch graft. A 64-year-old male patient with blepharoptosis of his right eye and multiple vesicles on the forehead, nose and cheeks, limitation on all gazes, blepharoptosis, and exophthalmia was eventually diagnosed with ophthalmic zona with orbital apex syndrome. After the treatment with systemic antiviral and steroid, there was complete recovery of the unilateral vesicular eruption, ophthalmoplegia, and ptosis at the third month follow-up. However, anterior uveitis, necrotizing scleritis, secondary glaucoma, and corneal dellen developed during follow-up. At the ninth month, pericardial patch graft (Tutoplast) was placed due to progression of the scleral thinning. Graft vascularization was completed. Careful and long-term follow-up of patients with ophthalmic zona is required for possible ophthalmic complications of varicella zoster virus infections. A pericardial patch graft might be placed due to the development of necrotizing scleritis.
authors.affiliation: *Department of Ophthalmology, Faculty of Medicine†Eye Clinic, Ataturk Training and Research Hospital, Izmir Katip Celebi University‡Department of Ophthalmology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
authors.forename: Erdinc
authors.initials: E
authors.lastname: Aydin
authors.forename: Melike
authors.initials: M
authors.lastname: Balikoglu-Yilmaz
authors.forename: Seher Saritepe
authors.initials: SS
authors.lastname: Imre
authors.forename: Feray
authors.initials: F
authors.lastname: Koc
authors.forename: Levent
authors.initials: L
authors.lastname: Kazanci
authors.forename: Arif Taylan
authors.initials: AT
authors.lastname: Ozturk
mesh_terms: D000293:Adolescent; D000998:Antiviral Agents / Q000627:therapeutic use; D005094:Exophthalmos / Q000175:diagnosis / Q000209:etiology*; D015828:Eye Infections, Viral / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006563:Herpes Zoster Ophthalmicus / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology*; D015423:Scleritis / Q000175:diagnosis / Q000209:etiology*; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014606:Uveitis, Anterior / Q000175:diagnosis / Q000209:etiology*
chemical_list: D000998:Antiviral Agents