Sixth nerve palsy and keratouveitis in patient with varicella zoster virus reactivation posterior to COVID-19 vaccine

Background: We present a case of herpes zoster-induced by the COVID-19 vaccine, with sixth nervepalsy and keratouveitis. Case presentation: A 77-year-old patient presented to hospital right-sided headache, dysesthesiasin trigeminal territory, diplopia, restricted abduction in right eye. She had been vaccinated Pfizer/BioNTech vaccine three weeks prior. Examination revealed weakness elevated intraocular pres-sure Brain imaging tests were normal. At follow-up, pseudo-dendritic corneal ulcer iridocyclitiswere noted. The polymerase chain reaction aqueous humor confirmed diagnosis zoster ophthalmicus.Treatment oral valacyclovir topical prednisolone was started, gradual improvement symptoms.conclusIon:Herpes is an uncommon cause nerve palsy. association between COVID-19vaccine increased incidence has recently described. Awareness must be created for promptdiagnosis treatment.