Manpreet S Chhabra1, Karl C Golnik. 1. Department of Ophthalmology (MSC, KCG), University of Cincinnati, Cincinnati Eye Institute, Cincinnati, Ohio; and the Virdi Eye Clinic (MSC), Rock Island, Illinois.
Abstract
OBJECTIVE: To report the course of ocular motor cranial nerve palsy due to herpes zoster. METHODS: A retrospective chart review identified patients with ocular motor cranial nerve palsy occurring at the time of herpes zoster ophthalmicus. Patients were seen by a single neuro-ophthalmologist from 1994 to 2012. RESULTS: Twenty-one patients were identified; 3 were excluded because of incomplete follow-up. Nine (50%) had complete recovery and 8 (44%) had partial recovery but no diplopia in primary gaze (mean time = 10 weeks). One patient with complete ophthalmoplegia had persistent diplopia in primary position for recovery. CONCLUSION: Ophthalmoplegia secondary to herpes zoster ophthalmicus has good long-term prognosis for recovery.
OBJECTIVE: To report the course of ocular motor cranial nerve palsy due to herpes zoster. METHODS: A retrospective chart review identified patients with ocular motor cranial nerve palsy occurring at the time of herpes zoster ophthalmicus. Patients were seen by a single neuro-ophthalmologist from 1994 to 2012. RESULTS: Twenty-one patients were identified; 3 were excluded because of incomplete follow-up. Nine (50%) had complete recovery and 8 (44%) had partial recovery but no diplopia in primary gaze (mean time = 10 weeks). One patient with complete ophthalmoplegia had persistent diplopia in primary position for recovery. CONCLUSION:Ophthalmoplegia secondary to herpes zoster ophthalmicus has good long-term prognosis for recovery.