Herpes Zoster Ophthalmicus With Orbital Findings Preceding Skin Rash. Ophthalmic Plast Reconstr Surg 2018;34(4):e113-e115
Date
04/11/2018Pubmed ID
29634608DOI
10.1097/IOP.0000000000001112Scopus ID
2-s2.0-85051074757 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
The authors describe 2 patients who presented with orbital findings and later developed vesicular lesions that were positive for varicella zoster virus and consistent with Herpes Zoster ophthalmicus. One case is the first to involve dacryoadenitis and orbital myositis preceding disseminated Herpes Zoster. In the other case, a patient developed zoster orbital syndrome leading to elevated intraocular pressure, loss of vision, and afferent pupillary defect. Canthotomy and cantholysis were required to restore vision. In both cases, the orbital syndrome developed prior to the vesicular rash. These cases highlight the need to consider Herpes Zoster ophthalmicus in patients with orbital syndrome not responding to conventional treatment.
Author List
Chiang E, Bajric J, Harris GJAuthor
Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedBlindness
Dacryocystitis
Female
Herpes Zoster Ophthalmicus
Humans
Male
Middle Aged
Ocular Hypertension
Ophthalmoplegia
Orbital Myositis