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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References
- Evaluation and management of herpes zoster ophthalmicus.Am Fam Physician. 2002; 66: 1723-1730
- Herpes zoster ophthalmicus.Neurology. 1995; 45: S50-S51https://doi.org/10.1212/wnl.45.12_suppl_8.s50
- Successful oral treatment of third cranial nerve palsy and optic neuritis from neglected herpes zoster in an immunocompetent patient.Am J Ophthalmol Case Rep. 2020; 20100953https://doi.org/10.1016/j.ajoc.2020.100953
- Orbital myositis involving the oblique muscles associated with herpes zoster ophthalmicus.Ophthalmic Plast Reconstr Surg. 2007; 23: 411-413https://doi.org/10.1097/IOP.0b013e318137a373
- Herpes zoster ophthalmicus clinical presentation and risk factors for loss of vision.Am J Ophthalmol. 2021; 226: 83-89https://doi.org/10.1016/j.ajo.2021.02.002
- Diagnosis and therapy of herpes zoster ophthalmicus.Ophthalmology. 1991; 98: 1216-1229https://doi.org/10.1016/s0161-6420(91)32163-8
- Multidermatomal varicella zoster with multiple cranial nerve involvement presenting with partial ophthalmoplegia in an immunocompetent woman.BC Med J. 2021; 63: 20-23
- A rare case of herpes zoster ophthalmicus with complete ophthalmoplegia.J Am Geriatr Soc. 2008; 56: 2160-2162https://doi.org/10.1111/j.1532-5415.2008.01996.x
Centers for Disease Control and Prevention (CDC). Shingles (Herpes Zoster). Available at: https://www.cdc.gov/shingles/index.html. Accessed August 15, 2021.
Article Info
Publication History
Published online: September 21, 2021
Footnotes
Funding: None.
Conflicts of Interest: None.
Authorship: All authors had access to the data and a role in writing this manuscript.
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© 2021 Elsevier Inc. All rights reserved.
