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Herpes zoster ophthalmicus (HZO) may cause a variety of ocular conditions including: dermatitis, corneal pseudo=dendrites, uveitis, retinitis, and cranial nerve palsies. Cranial nerve palsies caused by herpes zoster (HZ) are relatively uncommon clinical findings. Previous case reports have looked at this relationship, but the overall case studies are few. Other causes of nerve palsies typically need to be ruled out first with neuro-imaging and blood evaluations. However, when HZ is confirmed, treatment with oral antiviral therapy and/or oral corticosteroids along with monitoring the individual usually results in a self-limiting ophthalmoplegia that improves on its own over several months. We report a case of cranial nerve III palsy resulting from HZO. |
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