Ryu Won Yeol, Kim Nam Yeong, Kwon Yoon Hyung, Ahn Hee Bae
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Republic of Korea.
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Republic of Korea.
J AAPOS. 2014 Apr;18(2):193-5. doi: 10.1016/j.jaapos.2013.10.012. Epub 2014 Feb 28.
Herpes zoster ophthalmicus is rare in healthy children. It is occasionally associated with extraocular muscle palsies and rarely with isolated trochlear nerve palsy. We report a case of unilateral isolated trochlear nerve palsy associated with herpes zoster ophthalmicus in an immunocompetent 13-year-old girl who presented with diplopia and blurred vision in her right eye. The right cornea had multiple subepithelial opacities. Ocular motility returned to normal and diplopia and corneal opacification resolved with steroid therapy. To our knowledge, this is the first such case involving the troclear nerve in a child.
眼部带状疱疹在健康儿童中较为罕见。它偶尔会伴有眼外肌麻痹，极少情况下会出现孤立的滑车神经麻痹。我们报告一例免疫功能正常的13岁女孩，其患有与眼部带状疱疹相关的单侧孤立滑车神经麻痹，表现为右眼复视和视力模糊。右眼角膜有多个上皮下混浊。经类固醇治疗后，眼球运动恢复正常，复视和角膜混浊消失。据我们所知，这是首例涉及儿童滑车神经的此类病例。
