J Korean Ophthalmol Soc.  2016 Feb;57(2):341-345. 10.3341/jkos.2016.57.2.341.

Cases of Oculomotor Nerve Palsy in Herpes Zoster Ophthalmicus

Affiliations
  • 1Department of Ophthalmology, Dankook University Medical College, Cheonan, Korea. changmh@dankook.ac.kr

Abstract

PURPOSE
To report two case of oculomotor palsy accompanied by herpes zoster ophthalmicus (HZO). CASE SUMMARY: Two patients with HZO who were suffering from skin lesions, facial pain, and medicated with an antiviral agent from the dermatologic department, were diagnosed with oculomotor palsy. They presented with ptosis, dilated pupils, and ophthalmoplegia after 10 days, and 4 days after began developing skin lesions. They were diagnosed with HZO-induced oculomotor palsy and the ophthalmoplegia improved in all cases.
CONCLUSIONS
Oculomotor nerve palsy rarely occurrs in HZO patients and is usually followed by skin lesions. We recommend examinations for functions of extraocular motility, ptosis, and pupil to diagnose and treat the HZO-induced oculomotor nerve palsy even if consulted with the dermatologic department or only showing mild conjunctivitis, episcleritis, or keratitis.

Keyword

Herpes zoster ophthalmicus; Oculomotor nerve palsy; Ophthalmoplegia

MeSH Terms

Conjunctivitis
Facial Pain
Herpes Zoster Ophthalmicus*
Herpes Zoster*
Humans
Keratitis
Oculomotor Nerve Diseases*
Oculomotor Nerve*
Ophthalmoplegia
Paralysis
Pupil
Scleritis
Skin
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