More than meets the eye: Varicella zoster virus-related orbital apex syndrome

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 orbita...

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Autores principales: Jun, Lim Hui, Gupta, Arvind, Milea, Dan, Jaufeerally, Fazlur Rehman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213683/
https://www.ncbi.nlm.nih.gov/pubmed/30355893
http://dx.doi.org/10.4103/ijo.IJO_592_18
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author Jun, Lim Hui
Gupta, Arvind
Milea, Dan
Jaufeerally, Fazlur Rehman
author_facet Jun, Lim Hui
Gupta, Arvind
Milea, Dan
Jaufeerally, Fazlur Rehman
author_sort Jun, Lim Hui
collection PubMed
description 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.
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spelling pubmed-62136832018-11-20 More than meets the eye: Varicella zoster virus-related orbital apex syndrome Jun, Lim Hui Gupta, Arvind Milea, Dan Jaufeerally, Fazlur Rehman Indian J Ophthalmol Case Reports 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. Medknow Publications & Media Pvt Ltd 2018-11 /pmc/articles/PMC6213683/ /pubmed/30355893 http://dx.doi.org/10.4103/ijo.IJO_592_18 Text en Copyright: © 2018 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Reports
Jun, Lim Hui
Gupta, Arvind
Milea, Dan
Jaufeerally, Fazlur Rehman
More than meets the eye: Varicella zoster virus-related orbital apex syndrome
title More than meets the eye: Varicella zoster virus-related orbital apex syndrome
title_full More than meets the eye: Varicella zoster virus-related orbital apex syndrome
title_fullStr More than meets the eye: Varicella zoster virus-related orbital apex syndrome
title_full_unstemmed More than meets the eye: Varicella zoster virus-related orbital apex syndrome
title_short More than meets the eye: Varicella zoster virus-related orbital apex syndrome
title_sort more than meets the eye: varicella zoster virus-related orbital apex syndrome
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213683/
https://www.ncbi.nlm.nih.gov/pubmed/30355893
http://dx.doi.org/10.4103/ijo.IJO_592_18
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