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- Title
More than meets the eye: Varicella zoster virus-related orbital apex syndrome.
- Authors
Jun, Lim; Gupta, Arvind; Milea, Dan; Jaufeerally, Fazlur; Jun, Lim Hui; Jaufeerally, Fazlur Rehman
- Abstract
A 67-year-old male patient with poorly controlled type-2 diabetes mellitus developed an orbital apex syndrome and anterior cavernous syndrome secondary to herpetic zoster ophthalmicus (HZO), despite being on oral acyclovir. Urgent treatment with intravenous acyclovir led to improvement of the orbital and ocular inflammation but had no effect on the complete ophthalmoplegia and profound visual loss. At the 9-month follow-up visit, the patient had complete unilateral ophthalmoplegia and monocular blindness due to optic atrophy.
- Subjects
DIABETES; EYE paralysis; MONOCULAR vision; LEBER'S hereditary optic atrophy; ATROPHY; COMPUTED tomography; DIFFERENTIAL diagnosis; EXOPHTHALMOS; HERPESVIRUSES; MAGNETIC resonance imaging; SYNDROMES; OPHTHALMIC zoster; DISEASE complications; VIRAL eye infections; DIAGNOSIS
- Publication
Indian Journal of Ophthalmology, 2018, Vol 66, Issue 11, p1647
- ISSN
0301-4738
- Publication type
case study
- DOI
10.4103/ijo.IJO_592_18