Isolated Internal Ophthalmoplegia following Herpes Zoster Ophthalmicus
Herpes zoster ophthalmicus (HZO) is a disease involving the ophthalmic division of the trigeminal nerve due to the reactivation of the latent varicella-zoster virus in the dorsal root ganglion, commonly affecting people with compromised immunity and advancing age. It can cause a myriad of ocular man...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Delhi Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/DLJO.DLJO_164_24 |
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| author | Neha Pathak Gagan Deep Kaur Virendra Agrawal Amit Mishra |
| author_facet | Neha Pathak Gagan Deep Kaur Virendra Agrawal Amit Mishra |
| author_sort | Neha Pathak |
| collection | DOAJ |
| description | Herpes zoster ophthalmicus (HZO) is a disease involving the ophthalmic division of the trigeminal nerve due to the reactivation of the latent varicella-zoster virus in the dorsal root ganglion, commonly affecting people with compromised immunity and advancing age. It can cause a myriad of ocular manifestations. Total external and internal ophthalmoplegia occurs in 10%–30% of cases. Isolated third, fourth, and sixth cranial nerve palsies have also been reported. However, isolated pupillary paralysis as a solitary cranial nerve complication is rare. The suggested etiopathogenesis is acute ganglionic/postganglionic neuron denervation injury. We present one such case showing persistent tonic pupil even at 15 months following the onset of HZO despite the recovery in inflammation with treatment. |
| format | Article |
| id | doaj-art-93764e91a16c4aa2bd0e8bc2ee78fe81 |
| institution | OA Journals |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-93764e91a16c4aa2bd0e8bc2ee78fe812025-08-20T02:11:18ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842025-01-01351646610.4103/DLJO.DLJO_164_24Isolated Internal Ophthalmoplegia following Herpes Zoster OphthalmicusNeha PathakGagan Deep KaurVirendra AgrawalAmit MishraHerpes zoster ophthalmicus (HZO) is a disease involving the ophthalmic division of the trigeminal nerve due to the reactivation of the latent varicella-zoster virus in the dorsal root ganglion, commonly affecting people with compromised immunity and advancing age. It can cause a myriad of ocular manifestations. Total external and internal ophthalmoplegia occurs in 10%–30% of cases. Isolated third, fourth, and sixth cranial nerve palsies have also been reported. However, isolated pupillary paralysis as a solitary cranial nerve complication is rare. The suggested etiopathogenesis is acute ganglionic/postganglionic neuron denervation injury. We present one such case showing persistent tonic pupil even at 15 months following the onset of HZO despite the recovery in inflammation with treatment.https://journals.lww.com/10.4103/DLJO.DLJO_164_24anisocoriaherpes zoster ophthalmicusinternal ophthalmoplegiapilocarpinetonic pupil |
| spellingShingle | Neha Pathak Gagan Deep Kaur Virendra Agrawal Amit Mishra Isolated Internal Ophthalmoplegia following Herpes Zoster Ophthalmicus Delhi Journal of Ophthalmology anisocoria herpes zoster ophthalmicus internal ophthalmoplegia pilocarpine tonic pupil |
| title | Isolated Internal Ophthalmoplegia following Herpes Zoster Ophthalmicus |
| title_full | Isolated Internal Ophthalmoplegia following Herpes Zoster Ophthalmicus |
| title_fullStr | Isolated Internal Ophthalmoplegia following Herpes Zoster Ophthalmicus |
| title_full_unstemmed | Isolated Internal Ophthalmoplegia following Herpes Zoster Ophthalmicus |
| title_short | Isolated Internal Ophthalmoplegia following Herpes Zoster Ophthalmicus |
| title_sort | isolated internal ophthalmoplegia following herpes zoster ophthalmicus |
| topic | anisocoria herpes zoster ophthalmicus internal ophthalmoplegia pilocarpine tonic pupil |
| url | https://journals.lww.com/10.4103/DLJO.DLJO_164_24 |
| work_keys_str_mv | AT nehapathak isolatedinternalophthalmoplegiafollowingherpeszosterophthalmicus AT gagandeepkaur isolatedinternalophthalmoplegiafollowingherpeszosterophthalmicus AT virendraagrawal isolatedinternalophthalmoplegiafollowingherpeszosterophthalmicus AT amitmishra isolatedinternalophthalmoplegiafollowingherpeszosterophthalmicus |