Oculomotor Nerve Palsy Induced by Herpes Zoster Ophthalmicus

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Year-Number: 2021-3
Yayımlanma Tarihi: 2021-11-13 12:17:49.0
Language : English
Konu : Eye diseases
Number of pages: 125-128
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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.


  • 1.Kanski JJ.Cornea. In: Clinical Ophthalmology ASystematic Approach. 6th ed. Butterworth-Heinemann. 2007: p. 266-270

  • rates and trends. Mayo Clin Proc. 2013;88(6):562-570.3.Archambault P, Wise JS, Rosen J, Polomeno RC,Auger N. Herpes zoster ophthalmoplegia.Report of six cases. J Clin Neuroophthalmol 1988;8:185-193.

  • 5.Paraskevas GP, Anagnostou E, Vassilopoulou S,Spengos K. Painful Ophthalmolplegia withsimultaneous orbital myositis, optic and oculomotornerve inflammation and trigeminal nucleusinvolvement in a patient with herpes zosterophthalmicus. BMJ Case Reports 2012;10.1136/bcr- 2012-007063.

  • 6.Chang-Godinich A, Lee AG, Brazis PW, Liesegang TJ,Complete ophthalmoplegia after zoster ophthalmicus. J Neuroophthalmol 1997;17:262-265.

  • 7.Chhabra MS, Golnik KC. Recovery of ocular motorcranial nerve palsy after herpes zoster ophthalmicus. J Neuro-Ophthalmol 2014; 43:20-22

  • 8.Ilknur Tugal-Tutkun, Luca Cimino & Yonca AydinAkova (2018) Review for Disease of the Year: VaricellaZoster Virus-Induced Anterior Uveitis, OcularImmunology and Inflammation, 26:2, 171-177, DOI: 10.1080/09273948.2017.1383447

  • 10.Stephen C. Kaufman, Anterior SegmentComplications of Herpes Zoster Ophthalmicus. Ophthalmology 2008;115:S24 –S32.

  • 11.Yıldız ÖK, Seğmen H, Bolayır E ve ark. A case reportof Herpes zoster ophthalmicus with oculomotor nerve palsy. J.Neurol.Sci(Turk) 2009;21:500-504.

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