Orbital apex syndrome secondary to herpes zoster ophthalmicus.

Authors :: Ruiz-Arranz C
Reche-Sainz JA
de Uña-Iglesias MC
Ortueta-Olartecoechea A
Muñoz-Gallego A
Ferro-Osuna M
Source :: Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol (Engl Ed)] 2021 Jul; Vol. 96 (7), pp. 384-387. Date of Electronic Publication: 2020 Aug 27.
Publication Year :: 2021
Abstract: Herpes zoster ophthalmicus usually presents with ocular manifestations, but neurological complications are much more infrequent. An 84-year-old woman with herpes zoster of the left first trigeminal branch developed herpetic keratouveitis in her left eye despite treatment with oral valaciclovir. Seven days later, a progressive and total left ophthalmoplegia appeared, requiring hospital admission and intravenous treatment with acyclovir and corticosteroids. The neuroimaging was suggestive of an orbital apex syndrome. The evolution of the ophthalmoplegia was favourable, with complete resolution at 5 months, but with decreased visual acuity due to the optic nerve involvement.<br /> (Copyright © 2020 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.)