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Case Reports
. 2010 Apr;24(2):126-30.
doi: 10.3341/kjo.2010.24.2.126. Epub 2010 Apr 6.

A case of optic neuritis complicating herpes zoster ophthalmicus in a child

Seong Min Hong  1 , Yun Sik Yang
Affiliations
Case Reports

A case of optic neuritis complicating herpes zoster ophthalmicus in a child

Seong Min Hong et al. Korean J Ophthalmol. 2010 Apr.

Abstract

Here we report a case of optic neuritis in the setting of herpes zoster ophthalmicus (HZO) in a child. A six-year-old girl presented with HZO in the right eye. During the hospitalization, her visual acuity decreased. Fluorescein angiography (FAG) and optical coherence tomography revealed optic neuritis in the affected eye. Visual acuity improved with one month of treatment with acyclovir and steroids. FAG analysis showed no evidence of leakage at the optic disc. At one year post treatment, the patient's fundus exam and vision were normal. Therapy with antivirals and steroids may be effective in patients with childhood HZO optic neuritis.

Keywords: Herpes zoster ophthalmicus; Optic neuritis.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Hyperemic conjunctiva and skin rash over the right side of the face.
Fig. 2
Fig. 2
Swelling of the right optic disc as visualized by optical coherence tomography.
Fig. 3
Fig. 3
(A) Fluorescein angiography demonstrates hyperfluorescence in the optic disc. (B) Hyperfluorescence of the optic disc, visualized by fluorescein angiography, has resolved post treatment.
See this image and copyright information in PMC

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