Optic neuritis in herpes zoster ophthalmicus

An Guor Wang, Jorn Hon Liu, Wen-Ming Hsu, An Fei Lee, May Yung Yen

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18 Citations (Scopus)

Abstract

Background: Optic neuritis in herpes zoster ophthalmicus (HZO) has been reported rarely. We report two cases of HZO optic neuritis with detailed magnetic resonance imaging study and treatment responses. Cases: One patient presented with anterior optic nerve involvement, and the second presented with retrobulbar optic neuritis. Contrast enhanced T1-weighted images were obtained in these 2 patients. Intravenous acyclovir and oral prednisolone were given simultaneously. Observations: Magnetic resonance imaging revealed peripheral enhancement of the optic nerve sheath complex on T1-weighted scan. Both patients recovered their vision within 3 months following the start of treatment. Conclusions: Magnetic resonance imaging is helpful for the diagnosis of HZO optic neuritis. Systemic acyclovir and steroid are effective in the treatment of HZO optic neuritis. (C) 2000 Japanese Ophthalmological Society.

Original languageEnglish
Pages (from-to)550-554
Number of pages5
JournalJapanese Journal of Ophthalmology
Volume44
Issue number5
DOIs
Publication statusPublished - Sep 1 2000
Externally publishedYes

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Keywords

  • Acyclovir
  • Herpes zoster ophthalmicus
  • Magnetic resonance imaging
  • Optic neuritis
  • Steroid

ASJC Scopus subject areas

  • Ophthalmology

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