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dc.contributor.authorKirwan, R P
dc.contributor.authorAbdalla, M
dc.contributor.authorHogan, A
dc.contributor.authorTubridy, N
dc.contributor.authorBarry, P
dc.contributor.authorPower, W
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.
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
html.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.


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