A rare case of orbital apex syndrome with herpes zoster ophthalmicus in a human immunodeficiency virus-positive patient.

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 Ophthalmol

authors

Saxena R,Phuljhele S,Aalok L,Sinha A,Menon V,Sharma P,Mohan A

doi

10.4103/0301-4738.71708

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

527-30

issue

6

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2010_58_6_527_71708

journal_volume

58

pub_type

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