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Orbital Apex Syndrome in Herpes Zoster Ophthalmicus

Orbital apex syndrome is a rare manifestation of Herpes Zoster Ophthalmicus. Herein we report on a case of orbital apex syndrome secondary to Herpes Zoster Ophthalmicus. A 75 year-old male complained of vision loss, conjunctival hyperemia and proptosis on the left eye, was referred to our clinic. Vi...

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Autores principales: Arda, Hatice, Mirza, Ertugrul, Gumus, Koray, Oner, Ayse, Karakucuk, Sarper, Sırakaya, Ender
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399353/
https://www.ncbi.nlm.nih.gov/pubmed/22830066
http://dx.doi.org/10.1155/2012/854503
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author Arda, Hatice
Mirza, Ertugrul
Gumus, Koray
Oner, Ayse
Karakucuk, Sarper
Sırakaya, Ender
author_facet Arda, Hatice
Mirza, Ertugrul
Gumus, Koray
Oner, Ayse
Karakucuk, Sarper
Sırakaya, Ender
author_sort Arda, Hatice
collection PubMed
description Orbital apex syndrome is a rare manifestation of Herpes Zoster Ophthalmicus. Herein we report on a case of orbital apex syndrome secondary to Herpes Zoster Ophthalmicus. A 75 year-old male complained of vision loss, conjunctival hyperemia and proptosis on the left eye, was referred to our clinic. Visual acuity was 5/10 Snellen lines and he had conjunctival hyperemia, chemosis, minimal nuclear cataract and proptosis on the left eye. A diagnosis of orbital pseudotumor was demonstrated firstly. The patient received oral and topical corticosteroids, antiinflammatory and antibiotic agents. On day 2, vesiculopustular lesions were observed, Herpes Zoster Ophthalmicus was diagnosed and corticosteroid treatment stopped, oral acyclovir treatment initiated. Two days later, total ophthalmoplegia, ptosis and significant visual loss were observed on the left. The diagnosis of orbital apex syndrome was considered and the patient commenced on an intravenous acyclovir treatment. After the improvement of acute symptoms, a tapering dose of oral cortisone treatment initiated to accelarate the recovery of ophthalmoplegia. At 5-month follow-up, ptosis and ocular motility showed improvement. VA did not significantly improve because of cataract and choroidal detachment on the left. We conclude that ophthalmoplegia secondary to Herpes Zoster Ophthalmicus responds favourably to intravenous acyclovir and steroids.
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spelling pubmed-33993532012-07-24 Orbital Apex Syndrome in Herpes Zoster Ophthalmicus Arda, Hatice Mirza, Ertugrul Gumus, Koray Oner, Ayse Karakucuk, Sarper Sırakaya, Ender Case Rep Ophthalmol Med Case Report Orbital apex syndrome is a rare manifestation of Herpes Zoster Ophthalmicus. Herein we report on a case of orbital apex syndrome secondary to Herpes Zoster Ophthalmicus. A 75 year-old male complained of vision loss, conjunctival hyperemia and proptosis on the left eye, was referred to our clinic. Visual acuity was 5/10 Snellen lines and he had conjunctival hyperemia, chemosis, minimal nuclear cataract and proptosis on the left eye. A diagnosis of orbital pseudotumor was demonstrated firstly. The patient received oral and topical corticosteroids, antiinflammatory and antibiotic agents. On day 2, vesiculopustular lesions were observed, Herpes Zoster Ophthalmicus was diagnosed and corticosteroid treatment stopped, oral acyclovir treatment initiated. Two days later, total ophthalmoplegia, ptosis and significant visual loss were observed on the left. The diagnosis of orbital apex syndrome was considered and the patient commenced on an intravenous acyclovir treatment. After the improvement of acute symptoms, a tapering dose of oral cortisone treatment initiated to accelarate the recovery of ophthalmoplegia. At 5-month follow-up, ptosis and ocular motility showed improvement. VA did not significantly improve because of cataract and choroidal detachment on the left. We conclude that ophthalmoplegia secondary to Herpes Zoster Ophthalmicus responds favourably to intravenous acyclovir and steroids. Hindawi Publishing Corporation 2012 2012-07-09 /pmc/articles/PMC3399353/ /pubmed/22830066 http://dx.doi.org/10.1155/2012/854503 Text en Copyright © 2012 Hatice Arda et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Arda, Hatice
Mirza, Ertugrul
Gumus, Koray
Oner, Ayse
Karakucuk, Sarper
Sırakaya, Ender
Orbital Apex Syndrome in Herpes Zoster Ophthalmicus
title Orbital Apex Syndrome in Herpes Zoster Ophthalmicus
title_full Orbital Apex Syndrome in Herpes Zoster Ophthalmicus
title_fullStr Orbital Apex Syndrome in Herpes Zoster Ophthalmicus
title_full_unstemmed Orbital Apex Syndrome in Herpes Zoster Ophthalmicus
title_short Orbital Apex Syndrome in Herpes Zoster Ophthalmicus
title_sort orbital apex syndrome in herpes zoster ophthalmicus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399353/
https://www.ncbi.nlm.nih.gov/pubmed/22830066
http://dx.doi.org/10.1155/2012/854503
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