학술논문
More than meets the eye: Varicella zoster virus-related orbital apex syndrome.
Document Type
Case Study
Author
Source
Subject
*DIABETES
*EYE paralysis
*MONOCULAR vision
*LEBER'S hereditary optic atrophy
*ATROPHY
*COMPUTED tomography
*DIFFERENTIAL diagnosis
*EXOPHTHALMOS
*HERPESVIRUSES
*MAGNETIC resonance imaging
*SYNDROMES
*OPHTHALMIC zoster
*DISEASE complications
*VIRAL eye infections
*DIAGNOSIS
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Language
ISSN
0301-4738
Abstract
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. [ABSTRACT FROM AUTHOR]