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Case Reports
. 2019 Feb 26;44(4):267-269.
doi: 10.1080/01658107.2019.1583759.

Horner's Syndrome Following Varicella Vaccination

Michael Henry  1 , Christopher Johnson  1 , Larissa Ghadiali  1 , Veena Raiji  1
Affiliations
Case Reports

Horner's Syndrome Following Varicella Vaccination

Michael Henry et al. Neuroophthalmology. .

Abstract

A 52-year-old female with no significant past medical history presented with disseminated herpes zoster as well as a Horner's syndrome and retinal haemorrhages 3 weeks after receiving the varicella vaccine. The patient began treatment with valacyclovir, 1g three times per day, and gabapentin, 300mg three times a day, for pain. Over the following month, the rash and the retinal haemorrhages resolved. The ptosis and anisocoria also resolved over the following two months.

Keywords: Horner’s syndrome; herpes zoster; shingles; vaccination; vaccine; varicella; zoster.

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Figures

Figure 1.
Figure 1.
External photograph revealing vesicular rash over erythematous macules on left leg.
Figure 2.
Figure 2.
External photograph revealing right upper and lower lid ptosis.
Figure 3.
Figure 3.
External photograph revealing resolution of right upper and lower lid ptosis after instillation of apraclonidine 1% in both eyes.
Figure 4.
Figure 4.
Retinal haemorrhage along the superior arcade of the right eye.
See this image and copyright information in PMC

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