Chiang Elizabeth, Bajric Jasmina, Harris Gerald J
Southside Eye Care, Chesapeake, Virginia.
Department of Ophthalmology, Eastern Virginia Medical School, Norfolk, Virginia.
Ophthalmic Plast Reconstr Surg. 2018 Jul/Aug;34(4):e113-e115. doi: 10.1097/IOP.0000000000001112.
The authors describe 2 patients who presented with orbital findings and later developed vesicular lesions that were positive for varicella zoster virus and consistent with Herpes Zoster ophthalmicus. One case is the first to involve dacryoadenitis and orbital myositis preceding disseminated Herpes Zoster. In the other case, a patient developed zoster orbital syndrome leading to elevated intraocular pressure, loss of vision, and afferent pupillary defect. Canthotomy and cantholysis were required to restore vision. In both cases, the orbital syndrome developed prior to the vesicular rash. These cases highlight the need to consider Herpes Zoster ophthalmicus in patients with orbital syndrome not responding to conventional treatment.
作者描述了2例患者，他们最初表现出眼眶症状，随后出现水疱性皮损，水痘带状疱疹病毒检测呈阳性，符合眼带状疱疹的表现。其中1例是首例在播散性带状疱疹之前累及泪腺炎和眼眶肌炎的病例。在另一例中，一名患者出现带状疱疹眼眶综合征，导致眼压升高、视力丧失和传入性瞳孔障碍。需要进行眦切开术和眦松解术来恢复视力。在这两例中，眼眶综合征均在水疱性皮疹出现之前发生。这些病例凸显了对于常规治疗无反应的眼眶综合征患者，需要考虑眼带状疱疹的可能性。
