Herpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy: a case report
Abstract Herpes zoster Ophthalmicus (HZO) affecting the ophthalmic division (V1) of the trigeminal nerve. HZO may cause extraocular muscle palsies, with the third nerve being the most commonly affected and the fourth nerve the least. The combined involvement of the optic nerve and isolated paralysis...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-025-03870-x |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832594923916886016 |
|---|---|
| author | Farshad Afshar Mohammad Sadegh Khalilian Mohsen Pourazizi Mohammad Amin Najafi |
| author_facet | Farshad Afshar Mohammad Sadegh Khalilian Mohsen Pourazizi Mohammad Amin Najafi |
| author_sort | Farshad Afshar |
| collection | DOAJ |
| description | Abstract Herpes zoster Ophthalmicus (HZO) affecting the ophthalmic division (V1) of the trigeminal nerve. HZO may cause extraocular muscle palsies, with the third nerve being the most commonly affected and the fourth nerve the least. The combined involvement of the optic nerve and isolated paralysis of the eye muscle is very rare, with only limited case reports documenting this complication of ocular herpes zoster. This case report also describes a case of optic nerve involvement with 6th nerve palsy, which was treated with corticosteroid and valacyclovir. |
| format | Article |
| id | doaj-art-a635799c8d474e548cecaeab339bad3a |
| institution | Kabale University |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-a635799c8d474e548cecaeab339bad3a2025-01-19T12:14:28ZengBMCBMC Ophthalmology1471-24152025-01-012511510.1186/s12886-025-03870-xHerpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy: a case reportFarshad Afshar0Mohammad Sadegh Khalilian1Mohsen Pourazizi2Mohammad Amin Najafi3Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical SciencesIsfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical SciencesIsfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical SciencesIsfahan Neurosciences Research Center, Alzahra Research Institute, Isfahan University of Medical SciencesAbstract Herpes zoster Ophthalmicus (HZO) affecting the ophthalmic division (V1) of the trigeminal nerve. HZO may cause extraocular muscle palsies, with the third nerve being the most commonly affected and the fourth nerve the least. The combined involvement of the optic nerve and isolated paralysis of the eye muscle is very rare, with only limited case reports documenting this complication of ocular herpes zoster. This case report also describes a case of optic nerve involvement with 6th nerve palsy, which was treated with corticosteroid and valacyclovir.https://doi.org/10.1186/s12886-025-03870-xAbducens nerve palsySixth cranial nerve palsyOphthalmoplegiaHerpes zoster Ophthalmicus (HZO)Herpes zosterAcute retrobulbar optic neuritis (ON) |
| spellingShingle | Farshad Afshar Mohammad Sadegh Khalilian Mohsen Pourazizi Mohammad Amin Najafi Herpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy: a case report BMC Ophthalmology Abducens nerve palsy Sixth cranial nerve palsy Ophthalmoplegia Herpes zoster Ophthalmicus (HZO) Herpes zoster Acute retrobulbar optic neuritis (ON) |
| title | Herpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy: a case report |
| title_full | Herpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy: a case report |
| title_fullStr | Herpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy: a case report |
| title_full_unstemmed | Herpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy: a case report |
| title_short | Herpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy: a case report |
| title_sort | herpes zoster ophthalmicus with acute retrobulbar optic neuritis and abducens nerve palsy a case report |
| topic | Abducens nerve palsy Sixth cranial nerve palsy Ophthalmoplegia Herpes zoster Ophthalmicus (HZO) Herpes zoster Acute retrobulbar optic neuritis (ON) |
| url | https://doi.org/10.1186/s12886-025-03870-x |
| work_keys_str_mv | AT farshadafshar herpeszosterophthalmicuswithacuteretrobulbaropticneuritisandabducensnervepalsyacasereport AT mohammadsadeghkhalilian herpeszosterophthalmicuswithacuteretrobulbaropticneuritisandabducensnervepalsyacasereport AT mohsenpourazizi herpeszosterophthalmicuswithacuteretrobulbaropticneuritisandabducensnervepalsyacasereport AT mohammadaminnajafi herpeszosterophthalmicuswithacuteretrobulbaropticneuritisandabducensnervepalsyacasereport |