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Case Rep Ophthalmol. 2011 Sep;2(3):333-7. doi: 10.1159/000334236. Epub 2011 Oct 28.

Herpes zoster ophthalmicus and lateral rectus palsy in an elderly patient.

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Department of Ophthalmology, Uluda─č University School of Medicine, Bursa, Turkey.


Acquired palsy of the lateral rectus presents with horizontal diplopia and has a broad differential. Herpes zoster ophthalmicus- (HZO) related cranial nerve palsy is a transient and self-limiting condition. Systemic antiviral treatment is administered in order to prevent sight-threatening complications. In suspected cases, zosteriform rash should be questioned. One should keep in mind that acquired esotropia in the elderly may sometimes present following HZO.


Abduction; Cranial nerve palsy; Esotropia; Herpes zoster ophthalmicus; Neuro-ophthalmology; Ocular motility

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