Abstract:
:We report a rare instance of favorable outcome in orbital apex syndrome secondary to herpes zoster ophthalmicus (HZO) in a human immunodeficiency virus (HIV)-positive patient. The patient complained of pain and decrease in vision in one eye (20/640) for 2 weeks accompanied with swelling, inability to open eye, and rashes around the periocular area and forehead. The presence of complete ophthalmoplegia, ptosis, relative afferent pupillary defect, and anterior uveitis with decreased corneal sensation prompted a diagnosis of HZO with orbital apex syndrome. The enzyme-linked immunosorbent assay test and a low CD4 count confirmed HIV. Highly active antiretroviral therapy (HAART), systemic acyclovir, and systemic steroids were started. Visual acuity and uveitis improved within 10 days. By the end of the fourth week, ocular motility also recovered and the final visual acuity was 20/25. We highlight the role of HAART, used in conjunction with systemic steroid and acyclovir therapy, in improving the outcome.
journal_name
Indian J Ophthalmoljournal_title
Indian journal of ophthalmologyauthors
Saxena R,Phuljhele S,Aalok L,Sinha A,Menon V,Sharma P,Mohan Adoi
10.4103/0301-4738.71708subject
Has Abstractpub_date
2010-11-01 00:00:00pages
527-30issue
6eissn
0301-4738issn
1998-3689pii
IndianJOphthalmol_2010_58_6_527_71708journal_volume
58pub_type
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abstract:: ...
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pub_type: 评论,信件
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pub_type: 临床试验,杂志文章
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更新日期:1992-07-01 00:00:00
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pub_type: 杂志文章
doi:10.4103/ijo.IJO_1026_17
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
abstract:: ...
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pub_type: 杂志文章
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