Isolated Internal Ophthalmoplegia following Herpes Zoster Ophthalmicus
Herpes zoster ophthalmicus (HZO) is a disease involving the ophthalmic division of the trigeminal nerve due to the reactivation of the latent varicella-zoster virus in the dorsal root ganglion, commonly affecting people with compromised immunity and advancing age. It can cause a myriad of ocular man...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/DLJO.DLJO_164_24 |
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| Summary: | Herpes zoster ophthalmicus (HZO) is a disease involving the ophthalmic division of the trigeminal nerve due to the reactivation of the latent varicella-zoster virus in the dorsal root ganglion, commonly affecting people with compromised immunity and advancing age. It can cause a myriad of ocular manifestations. Total external and internal ophthalmoplegia occurs in 10%–30% of cases. Isolated third, fourth, and sixth cranial nerve palsies have also been reported. However, isolated pupillary paralysis as a solitary cranial nerve complication is rare. The suggested etiopathogenesis is acute ganglionic/postganglionic neuron denervation injury. We present one such case showing persistent tonic pupil even at 15 months following the onset of HZO despite the recovery in inflammation with treatment. |
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| ISSN: | 0972-0200 2454-2784 |