Ocular motor nerve paralysis in herpes zoster ophthalmicus / 대한피부과학회지

ABSTRACT

Only few studies focused on ocular motor paralysis in herpes zoster ophthalmicus. The manifestation of ptosis and paralysis of ocular motor nerve or one of its branches is rarely seen. However, careful examinations with regard to external ocular movements and iris would be helpful to detect the ocular motor paralysis. We report a case of ocular motor paralysis resulting from herpes zoster ophthalmicus. A 66-year-old woman was treated with acyclovir and steroid for an ophthalmic herpes zoster. Ptosis and impairment of gaze except lateral gaze appeared after the periorbital edema subsided. She showed moderately edematous cornea, corneal erosion, chemosis, but no definite dendritic lesions. The paralytic lesions cleared four months later.