Herpes Zoster Ophthalmicus (HZO) is an infection involving the ophthalmic branch of the trigeminal nerve due to reactivation of latent varicella –zoster virus in the sensory ganglion of the trigeminal nerve. After suppression of immunity for any reason, the virus reactivates and causes vesicular lesions on the dermatomes innervated by the ganglion. Although HZO can be seen at any age, it is a disease often seen in the elderly or immunocompromised individuals. All ocular structures may be involved, with various ocular findings. Cranial nerve involvement is a rare complication in HZO. The most commonly involved cranial nerve is the oculomotor nerve. In this case report, a 65-year-old patient who developed oculomotor paralysis, anterior uveitis and neurotrophic keratitis after herpes zoster ophthalmicus is presented.