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Maxillary zoster with corneal involvement.

Shashi Jain1, Mahesh K Rathore

  • 1Department of Ophthalmology, S S Medical College, Rewa, India.

Indian Journal of Ophthalmology
|February 8, 2005
PubMed
Summary
This summary is machine-generated.

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Corneal involvement in maxillary zoster, a rare complication, occurred in a young patient. This case highlights the importance of recognizing this unusual presentation of shingles affecting the face.

Area of Science:

  • Ophthalmology
  • Neurology
  • Infectious Diseases

Background:

  • Maxillary zoster, a reactivation of the varicella-zoster virus (VZV) in the trigeminal nerve, typically affects the ophthalmic division.
  • Ocular complications of herpes zoster ophthalmicus (HZO) are well-documented, but corneal involvement specifically within the maxillary division is notably infrequent.

Observation:

  • A rare case of maxillary zoster presenting with significant corneal involvement in a pediatric patient is detailed.
  • The clinical presentation and diagnostic challenges associated with this unusual VZV manifestation are discussed.

Findings:

  • Corneal involvement, including keratitis and potential vision impairment, was observed in a patient with maxillary zoster.
  • This case underscores that VZV reactivation can manifest beyond the typical ophthalmic distribution, affecting other trigeminal nerve branches.

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Implications:

  • Ophthalmologists and neurologists should consider maxillary zoster in the differential diagnosis of corneal pathology, even in young patients.
  • Early recognition and prompt antiviral treatment are crucial to prevent severe ocular complications and preserve vision in cases of atypical herpes zoster presentations.