A Rare Case of Orbital Apex Syndrome in Herpes Zoster Ophthalmicus
Orbital Apex Syndrome (OAS) is a rare complication of Herpes Zoster Ophthalmicus (HZO). We are reporting a case of 65-yearold male who developed OAS following HZO. Patient presented with vesicular rash in the typical dermatomal distribution, severe periocular congestion and limited ocular motility...
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doaj-052f2d6b61614d538437140792f344b72020-11-25T03:25:23ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-06-01106ND04ND0510.7860/JCDR/2016/20700.7947A Rare Case of Orbital Apex Syndrome in Herpes Zoster OphthalmicusCHARUDUTT KALAMKAR0NISHANT RADKE1AMRITA MUKHERJEE2SNEHAL RADKE3Consultant Ophthalmologist, Department of Neuro-ophthalmology, Orbit and Oculoplasty, Shri Ganesh Vinayak Eye Hospital, Raipur, Chhattisgarh, India.Consultant Ophthalmologist, Department of Retina and Vitreous, Shri Ganesh Vinayak Eye Hospital, Raipur, Chhattisgarh, India.Consultant Ophthalmologist, Department of Anterior Segment, Shri Ganesh Vinayak Eye Hospital, Raipur, Chhattisgarh, India.Consultant Ophthalmologist, Department of Anterior Segment, Shri Ganesh Vinayak Eye Hospital, Raipur, Chhattisgarh, India.Orbital Apex Syndrome (OAS) is a rare complication of Herpes Zoster Ophthalmicus (HZO). We are reporting a case of 65-yearold male who developed OAS following HZO. Patient presented with vesicular rash in the typical dermatomal distribution, severe periocular congestion and limited ocular motility in all gazes along with loss of vision. Soft tissue inflammation improved within 4 weeks of initiation of treatment while ocular motility slowly improved over 3 months. Patient did not gain vision despite receiving systemic steroids and systemic anti-viral medication. Variable improvement in ocular motility and visual function in our patient points towards multiple mechanisms involved in pathogenesis of this disease, some of which are yet to be understood.https://jcdr.net/articles/PDF/7947/20700_CE[Ra1]_F(GH)_PF1(SWAK)_PFA(AK)_PF2(PAG).pdfantiviralmethylprednisoloneophthalmoplegiaorbital apex syndrome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
CHARUDUTT KALAMKAR NISHANT RADKE AMRITA MUKHERJEE SNEHAL RADKE |
spellingShingle |
CHARUDUTT KALAMKAR NISHANT RADKE AMRITA MUKHERJEE SNEHAL RADKE A Rare Case of Orbital Apex Syndrome in Herpes Zoster Ophthalmicus Journal of Clinical and Diagnostic Research antiviral methylprednisolone ophthalmoplegia orbital apex syndrome |
author_facet |
CHARUDUTT KALAMKAR NISHANT RADKE AMRITA MUKHERJEE SNEHAL RADKE |
author_sort |
CHARUDUTT KALAMKAR |
title |
A Rare Case of Orbital Apex Syndrome in Herpes Zoster Ophthalmicus |
title_short |
A Rare Case of Orbital Apex Syndrome in Herpes Zoster Ophthalmicus |
title_full |
A Rare Case of Orbital Apex Syndrome in Herpes Zoster Ophthalmicus |
title_fullStr |
A Rare Case of Orbital Apex Syndrome in Herpes Zoster Ophthalmicus |
title_full_unstemmed |
A Rare Case of Orbital Apex Syndrome in Herpes Zoster Ophthalmicus |
title_sort |
rare case of orbital apex syndrome in herpes zoster ophthalmicus |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2016-06-01 |
description |
Orbital Apex Syndrome (OAS) is a rare complication of Herpes Zoster Ophthalmicus (HZO). We are reporting a case of 65-yearold male who developed OAS following HZO. Patient presented with vesicular rash in the typical dermatomal distribution, severe
periocular congestion and limited ocular motility in all gazes along with loss of vision. Soft tissue inflammation improved within 4 weeks of
initiation of treatment while ocular motility slowly improved over 3 months. Patient did not gain vision despite receiving systemic steroids
and systemic anti-viral medication. Variable improvement in ocular motility and visual function in our patient points towards multiple
mechanisms involved in pathogenesis of this disease, some of which are yet to be understood. |
topic |
antiviral methylprednisolone ophthalmoplegia orbital apex syndrome |
url |
https://jcdr.net/articles/PDF/7947/20700_CE[Ra1]_F(GH)_PF1(SWAK)_PFA(AK)_PF2(PAG).pdf |
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