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Case Reports
. 2019 Jul 12;44(2):118-120.
doi: 10.1080/01658107.2019.1618343. eCollection 2020 Apr.

Isolated Internal Ophthalmoplegia Secondary to Herpes Zoster Ophthalmicus: A Rare Case Report

Dilek Top Karti  1 , Dilara Aktert  2 , Nese Celebisoy  2
Affiliations
Case Reports

Isolated Internal Ophthalmoplegia Secondary to Herpes Zoster Ophthalmicus: A Rare Case Report

Dilek Top Karti et al. Neuroophthalmology. .

Abstract

Herpes zoster becomes latent in the sensory ganglia after the primary infection and may reactivate many years later to produce shingles in adults. Involvement of the ophthalmic branch of the trigeminal nerve with this virus is called Herpes zoster ophthalmicus (HZO). The eyelid skin, cornea, uvea, retina, optic nerve and other cranial nerves can be affected by HZO. Isolated internal ophthalmoplegia can rarely be seen. Clinicians should be aware of this condition and HZO must be kept in mind in the differential diagnosis of anisocoria.

Keywords: Herpes zoster; Herpes zoster ophthalmicus; internal ophthalmoplegia.

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Figures

Figure 1.
Figure 1.
Photograph showing right upper-eyelid oedema and an enlarged pupil (a). Constriction of the right pupil after administration of 2% pilocarpine (b).
See this image and copyright information in PMC

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