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Herpes Zoster Ophthalmicus With Dacryoadenitis Complicated by Recurrent Orbital Inflammation
Jason Dossantos1, Scott M Goldstein2,3
1Department of Ophthalmology, School of Medicine and Health Sciences, George Washington University, Washington, District of Columbia.
Ophthalmic Plastic and Reconstructive Surgery
|July 24, 2023
Summary
Herpes zoster ophthalmicus, a trigeminal nerve infection, can cause serious eye complications. Early diagnosis and treatment are crucial for managing this condition, especially in patients with comorbidities like diabetes.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- Herpes zoster ophthalmicus (HZO) involves the first trigeminal nerve division, potentially leading to ocular and orbital complications.
- HZO affects 10-20% of herpes zoster cases and can cause significant morbidity, especially in patients with comorbidities.
Observation:
- A case of HZO with dacryoadenitis in a patient with uncontrolled diabetes and rheumatoid arthritis is presented.
- The patient experienced misdiagnosis, delayed treatment, and recurrence with orbital symptoms.
Findings:
- Prompt recognition and initiation of therapy are vital for managing HZO.
- Careful monitoring and follow-up are essential to prevent recurrence and long-term sequelae.
Implications:
- This case highlights the importance of timely diagnosis and management of HZO.
- Effective treatment strategies are crucial for preventing severe complications and improving patient outcomes in HZO cases, particularly those with underlying health conditions.
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