Abstract

Oculomotor palsy is a recognized uncommon complication in herpes zoster ophthalmicus. A case of herpes zoster ophthalmicus with ophthalmoplegia is reported. A 15 year old boy presented with ptosis, chemosis, proptosis, ophthalmoplegia involving IVth and VIth cranial nerve following vesicular eruption on his right forehead. He was treated with oral acyclovir and oral steroids. He made a partial recovery with improvement of ptosis, proptosis but with residual VIth nerve palsy. Keyword: Herpes zoster ophthalmicus; ocular herpes zoster; ophthalmoplegia; BangladeshDOI: 10.3329/jom.v12i1.6938J Medicine 2011; 12 : 91-93

Highlights

  • Herpes zoster is a common disease caused by varicella zoster virus (VZV)

  • Herpes zoster ophthalmicus (HZO) occurs when the ophthalmic division of the trigeminal nerve is affected by reactivation of the virus

  • The presence of vesicular eruption associated with ocular and extraocular involvement and imaging findings led to the diagnosis of herpes zoster ophthalmicus

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Summary

A Young Boy with Painful Eye Swelling and Facial Rash

SHAHRIAR MAHBUB,[1] ABDULLAH AL FARUQ,[1] MD. MAHMUDUR RAHMAN SIDDIQUI,[1] MOHAMMAD ASHIK IMRAN KHAN,[2] HAM NAZMUL AHASAN,[3] MD. TITU MIAH,[5] RATAN DAS GUPTA5

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