Bjerrum Søren Solborg, Hessellund Anders
Øjenafdelingen, Regionshospitalet Holstebro, Denmark.
Ugeskr Laeger. 2012 Jun 25;174(26):1832-3.
An 86-year-old female presented with eye pain, complete ophthalmoplegia, a visual acuity of 1/60, vitritis, ptosis, displacement of the eye, and a partially dilated pupil unresponsive to light. A computed tomography of the cerebrum was normal. Herpes zoster ophthalmicus was suspected and treatment with i.v. acyclovir and prednisolone was commenced, which led to a gradual improvement of the clinical condition. Complete ophthalmoplegia due to herpes zoster ophthalmicus is a very rare condition and no evidence-based treatment is available. The prognosis is very good with almost complete remission of the symptoms within 18 months.
一名86岁女性出现眼痛、完全性眼肌麻痹、视力为1/60、葡萄膜炎、上睑下垂、眼球移位以及对光无反应的部分散瞳。脑部计算机断层扫描正常。怀疑为眼部带状疱疹，并开始静脉注射阿昔洛韦和泼尼松龙治疗，临床状况逐渐改善。眼部带状疱疹导致的完全性眼肌麻痹是一种非常罕见的病症，目前尚无循证治疗方法。预后非常好，症状几乎可在18个月内完全缓解。
