Cases of Oculomotor Nerve Palsy in Herpes Zoster Ophthalmicus.

Lee, Yu Mi; Chang, Moo Hwan

doi:2016.57.2.341

J Korean Ophthalmol Soc > Volume 57(2); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(2):341-345.
DOI: https://doi.org/10.3341/jkos.2016.57.2.341 Published online February 1, 2016.

Cases of Oculomotor Nerve Palsy in Herpes Zoster Ophthalmicus.

Yu Mi Lee, Moo Hwan Chang

Department of Ophthalmology, Dankook University Medical College, Cheonan, Korea. changmh@dankook.ac.kr

동안신경마비를 동반한 안부 대상포진 2예

이유미⋅장무환

단국대학교 의과대학 안과학교실

Abstract

PURPOSE
To report two case of oculomotor palsy accompanied by herpes zoster ophthalmicus (HZO). CASE SUMMARY: Two patients with HZO who were suffering from skin lesions, facial pain, and medicated with an antiviral agent from the dermatologic department, were diagnosed with oculomotor palsy. They presented with ptosis, dilated pupils, and ophthalmoplegia after 10 days, and 4 days after began developing skin lesions. They were diagnosed with HZO-induced oculomotor palsy and the ophthalmoplegia improved in all cases. CONCLUSIONS: Oculomotor nerve palsy rarely occurrs in HZO patients and is usually followed by skin lesions. We recommend examinations for functions of extraocular motility, ptosis, and pupil to diagnose and treat the HZO-induced oculomotor nerve palsy even if consulted with the dermatologic department or only showing mild conjunctivitis, episcleritis, or keratitis.

Key Words: Herpes zoster ophthalmicus;Oculomotor nerve palsy;Ophthalmoplegia