Journal of Neuro-Ophthalmology

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Journal of Neuro-Ophthalmology:
doi: 10.1097/WNO.0b013e3182a59c69
Original Contribution

Recovery of Ocular Motor Cranial Nerve Palsy After Herpes Zoster Ophthalmicus

Chhabra, Manpreet S. MD; Golnik, Karl C. MD, MEd

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Objective: To report the course of ocular motor cranial nerve palsy due to herpes zoster.

Methods: A retrospective chart review identified patients with ocular motor cranial nerve palsy occurring at the time of herpes zoster ophthalmicus. Patients were seen by a single neuro-ophthalmologist from 1994 to 2012.

Results: Twenty-one patients were identified; 3 were excluded because of incomplete follow-up. Nine (50%) had complete recovery and 8 (44%) had partial recovery but no diplopia in primary gaze (mean time = 10 weeks). One patient with complete ophthalmoplegia had persistent diplopia in primary position for recovery.

Conclusion: Ophthalmoplegia secondary to herpes zoster ophthalmicus has good long-term prognosis for recovery.

© 2014 by North American Neuro-Ophthalmology Society


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