Superior orbital fissure syndrome in herpes zoster ophthalmicus.

Hdl Handle:
http://hdl.handle.net/10147/207478
Title:
Superior orbital fissure syndrome in herpes zoster ophthalmicus.
Authors:
Kirwan, R P; Abdalla, M; Hogan, A; Tubridy, N; Barry, P; Power, W
Affiliation:
Department of Ophthalmic Surgery, St Vincent's University Hospital, Dublin 4,, Ireland. ruaidhri.kirwan@ucd.ie
Citation:
Ir J Med Sci. 2009 Sep;178(3):355-8. Epub 2009 Jan 13.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207478
DOI:
10.1007/s11845-008-0266-4
PubMed ID:
19139952
Abstract:
AIM: To report a case of superior orbital fissure syndrome (SOFS) in a patient with herpes zoster ophthalmicus (HZO). MATERIALS AND METHODS: A case report. RESULTS: A 71-year-old male with HZO presented acutely to accident and emergency complaining of right vision loss, double vision and drowsiness. The right visual acuity was counting fingers. There was no relative afferent pupillary defect. He had interstitial keratitis, ptosis, proptosis and total ophthalmoplaegia. The signs indicated HZO complicated by SOFS. Brain imaging and lumbar puncture confirmed the diagnosis of varicella zoster encephalitis. Systemic acyclovir and prednisolone led to recovery of visual acuity and ocular motility in addition to resolution of his proptosis and ptosis. CONCLUSION: SOFS is a rare complication of herpes zoster infection. With the appropriate treatment and follow-up, patients may be reassured that recovery of their visual acuity and ocular motility will occur.
Language:
eng
MeSH:
Acyclovir/therapeutic use; Aged; Anti-Inflammatory Agents/therapeutic use; Antiviral Agents/therapeutic use; Dexamethasone/therapeutic use; Glucocorticoids/therapeutic use; Herpes Zoster Ophthalmicus/*complications/drug therapy; Humans; *Orbit; Orbital Diseases/diagnosis/*etiology; Prednisolone/therapeutic use
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKirwan, R Pen_GB
dc.contributor.authorAbdalla, Men_GB
dc.contributor.authorHogan, Aen_GB
dc.contributor.authorTubridy, Nen_GB
dc.contributor.authorBarry, Pen_GB
dc.contributor.authorPower, Wen_GB
dc.date.accessioned2012-02-01T10:28:57Z-
dc.date.available2012-02-01T10:28:57Z-
dc.date.issued2012-02-01T10:28:57Z-
dc.identifier.citationIr J Med Sci. 2009 Sep;178(3):355-8. Epub 2009 Jan 13.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid19139952en_GB
dc.identifier.doi10.1007/s11845-008-0266-4en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207478-
dc.description.abstractAIM: To report a case of superior orbital fissure syndrome (SOFS) in a patient with herpes zoster ophthalmicus (HZO). MATERIALS AND METHODS: A case report. RESULTS: A 71-year-old male with HZO presented acutely to accident and emergency complaining of right vision loss, double vision and drowsiness. The right visual acuity was counting fingers. There was no relative afferent pupillary defect. He had interstitial keratitis, ptosis, proptosis and total ophthalmoplaegia. The signs indicated HZO complicated by SOFS. Brain imaging and lumbar puncture confirmed the diagnosis of varicella zoster encephalitis. Systemic acyclovir and prednisolone led to recovery of visual acuity and ocular motility in addition to resolution of his proptosis and ptosis. CONCLUSION: SOFS is a rare complication of herpes zoster infection. With the appropriate treatment and follow-up, patients may be reassured that recovery of their visual acuity and ocular motility will occur.en_GB
dc.language.isoengen_GB
dc.subject.meshAcyclovir/therapeutic useen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAnti-Inflammatory Agents/therapeutic useen_GB
dc.subject.meshAntiviral Agents/therapeutic useen_GB
dc.subject.meshDexamethasone/therapeutic useen_GB
dc.subject.meshGlucocorticoids/therapeutic useen_GB
dc.subject.meshHerpes Zoster Ophthalmicus/*complications/drug therapyen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Orbiten_GB
dc.subject.meshOrbital Diseases/diagnosis/*etiologyen_GB
dc.subject.meshPrednisolone/therapeutic useen_GB
dc.titleSuperior orbital fissure syndrome in herpes zoster ophthalmicus.en_GB
dc.contributor.departmentDepartment of Ophthalmic Surgery, St Vincent's University Hospital, Dublin 4,, Ireland. ruaidhri.kirwan@ucd.ieen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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