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Orbit. 2008;27(4):325-7. doi: 10.1080/01676830802222852.

Severe, permanent orbital disease in herpes zoster ophthalmicus.

Author information

1
Eye Department, John Radcliffe Hospital, Oxford, United Kingdom. drsumitdhingra@hotmail.com

Abstract

A 63-year-old man with HZO presented with involvement of cranial nerves II, III, IV, V, and VI, with proptosis, raised intraocular pressure, and chemosis. With the aid of orbital imaging, a diagnosis of orbital apex inflammation secondary to HZO was confirmed, and he was treated with intravenous acyclovir and oral steroids. Despite this, he made a minimal recovery at eight months following presentation. Severe, irreversible orbital disease may develop following HZO, and an ischemic vasculitis may play a role in the pathogenesis of the disease.

PMID:
18716975
DOI:
10.1080/01676830802222852
[Indexed for MEDLINE]

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