Herpes Zoster Ophthalmicus with Unilateral Sixth Nerve Palsy

Herpes Zoster Ophthalmicus

INTRODUCTION Herpes zoster is a common diagnosis in the emergency department (ED). Caused by the reactivation of the varicellazoster virus (VZV), zoster usually presents as a painful dermatomal rash. In addition to skin or mucosal involvement, VZV reactivation commonly affects the ophthalmic division of the trigeminal nerve and subsequently the eye. This manifestation is termed herpes zoster op...

Herpes Zoster Ophthalmicus.

Unilateral herpes zoster ophthalmicus results in bilateral corneal nerve alteration: an in vivo confocal microscopy study.

PURPOSE Herpes zoster ophthalmicus (HZO), thought to be a unilateral disease, results in loss of corneal sensation, leading to neurotrophic keratopathy. This study aimed to analyze bilateral corneal nerve changes in patients with HZO by in vivo confocal microscopy (IVCM) and their correlation with corneal sensation as a measure of nerve function. DESIGN Prospective, cross-sectional, controlle...

Herpes zoster ophthalmicus with retrobulbar neuritis.

BACKGROUND Retrobulbar neuritis in Herpes Zoster Ophthalmicus (HZO) has been reported very rarely. OBJECTIVE To report a very rare case of HZO with retrobulbar neuritis with detailed clinical features and treatment responses. CASE A fifty-eight- year old male presented with Herpes zoster-retrobulbarneuritis in the left eye. It was characterized by decreased visual acuity, mid dilated pupil ...

Herpes zoster ophthalmicus in children.

Herpes zoster ophthalmicus, first described fully by Jonathan Hutchinson in 1866, is very rare in children, being predominantly an adult affection (Doggart, 1933; Bjork, 1950; Duke-Elder, 1952). Koch (1939), in reporting a case in a child of 51 years of age, states that only one other child, aged 12, developed zoster ophthalmicus at the Mayo Clinic before 1938. In a fairly exhaustive analysis o...