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  • Title: Severe, permanent orbital disease in herpes zoster ophthalmicus.
    Author: Dhingra S, Williams G, Pearson A.
    Journal: Orbit; 2008; 27(4):325-7. PubMed ID: 18716975.
    Abstract:
    A 63-year-old man with HZO presented with involvement of cranial nerves II, III, IV, V, and VI, with proptosis, raised intraocular pressure, and chemosis. With the aid of orbital imaging, a diagnosis of orbital apex inflammation secondary to HZO was confirmed, and he was treated with intravenous acyclovir and oral steroids. Despite this, he made a minimal recovery at eight months following presentation. Severe, irreversible orbital disease may develop following HZO, and an ischemic vasculitis may play a role in the pathogenesis of the disease.
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