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Herpes Zoster Ophthalmicus Associated with Oculomotor Nerve Palsy

Published:September 21, 2021DOI:https://doi.org/10.1016/j.amjmed.2021.08.029
      A 67-year-old African American male presented with a 1-week history of left eye pain with conjunctival erythema, a painful rash on his left forehead, headache, and 2 days of diplopia. The physical examination was notable for conjunctival injection of the left eye, left upper eyelid ptosis, and crusting forehead skin lesions. The patient was unable to maintain gaze medially or laterally; attempts at prolonged gaze resulted in loss of alignment and diplopia. Ophthalmologic examination was otherwise normal. A computed tomography (CT) of the head and a magnetic resonance imaging (MRI) of the brain and orbits revealed no acute intracranial findings.
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