Korean J Dermatol.  2000 Sep;38(9):1280-1283.

Ocular motor nerve paralysis in herpes zoster ophthalmicus

• Jang JW
• Shin DJ
• Lee SJ
• Jun JB
• Chung SL

Abstract

Only few studies focused on ocular motor paralysis in herpes zoster ophthalmicus. The manifestation of ptosis and paralysis of ocular motor nerve or one of its branches is rarely seen. However, careful examinations with regard to external ocular movements and iris would be helpful to detect the ocular motor paralysis. We report a case of ocular motor paralysis resulting from herpes zoster ophthalmicus. A 66-year-old woman was treated with acyclovir and steroid for an ophthalmic herpes zoster. Ptosis and impairment of gaze except lateral gaze appeared after the periorbital edema subsided. She showed moderately edematous cornea, corneal erosion, chemosis, but no definite dendritic lesions. The paralytic lesions cleared four months later.

Keyword

Herpes zoster ophthalmicus; Ptosis; Ocular motor paralysis

MeSH Terms

Acyclovir
Aged
Cornea
Edema
Female
Herpes Zoster Ophthalmicus*
Herpes Zoster*
Humans
Iris
Paralysis*
Acyclovir