Department of Internal Medicine, Singapore General Hospital, Singapore.
Department of Ophthalmology, Whanganui Hospital; Department of Ophthalmology, MidCentral District Hospital, Palmerston North, New Zealand.
Indian J Ophthalmol. 2018 Nov;66(11):1647-1649. doi: 10.4103/ijo.IJO_592_18.
A 67-year-old male patient with poorly controlled type-2 diabetes mellitus developed an orbital apex syndrome and anterior cavernous syndrome secondary to herpetic zoster ophthalmicus (HZO), despite being on oral acyclovir. Urgent treatment with intravenous acyclovir led to improvement of the orbital and ocular inflammation but had no effect on the complete ophthalmoplegia and profound visual loss. At the 9-month follow-up visit, the patient had complete unilateral ophthalmoplegia and monocular blindness due to optic atrophy.
一位 67 岁男性患者患有未控制的 2 型糖尿病，尽管已服用口服阿昔洛韦，但仍因带状疱疹性眼病（HZO）而出现眶尖综合征和前颅窝综合征。静脉用阿昔洛韦的紧急治疗导致眼眶和眼部炎症改善，但对视神经完全瘫痪和严重视力丧失没有影响。在 9 个月的随访时，患者因视神经萎缩而出现单侧完全性眼肌瘫痪和单眼失明。
