Wang A G, Liu J H, Hsu W M, Lee A F, Yen M Y
Department of Ophthalmology, National Yang-Ming University, Taipei Veterans General Hospital, Republic of, Taipei, Taiwan, China.
Jpn J Ophthalmol. 2000 Sep-Oct;44(5):550-4. doi: 10.1016/s0021-5155(00)00204-5.
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.
One patient presented with anterior optic nerve involvement, and the second presented with retrobulbar optic neuritis. Contrast enhanced T(1)-weighted images were obtained in these 2 patients. Intravenous acyclovir and oral prednisolone were given simultaneously.
Magnetic resonance imaging revealed peripheral enhancement of the optic nerve sheath complex on T(1)-weighted scan. Both patients recovered their vision within 3 months following the start of treatment.
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.
眼部带状疱疹（HZO）并发视神经炎的报道较为罕见。我们报告两例HZO视神经炎病例，并对其进行详细的磁共振成像研究及治疗反应分析。
一例患者表现为前部视神经受累，另一例表现为球后视神经炎。对这两名患者进行了对比增强T（1）加权成像。同时给予静脉注射阿昔洛韦和口服泼尼松龙。
磁共振成像显示T（1）加权扫描时视神经鞘复合体周围强化。两名患者在开始治疗后3个月内视力均恢复。
磁共振成像有助于HZO视神经炎的诊断。全身性阿昔洛韦和类固醇对HZO视神经炎治疗有效。
