Abstract
Background
Oculomotor nerve palsy in herpes zoster ophthalmicus(HZO) is rare. HZO can manifest with delayed complications such as Oculomotor Nerve Complications (OMCN) or other significant neurological consequences.
Case presentation:
We report a 77-year-old woman with right ptosis while receiving treatment for herpes zoster. Physical examination showed crusted vesicles on the right V1 dermatome, complete right ptosis, and limited right eye movement in all directions. The symptoms of oculomotor nerve palsy have not yet improved although the lesion healing after anti-inflammatory and antiviral treatment.
Conclusions
Prompt initiation of antiviral therapy and steroidal anti-inflammatory treatment are advocated in Herpes Zoster(HZ) to mitigate severe outcomes. Moreover, diligent monitoring and routine follow-ups for HZO patients are imperative. While therapeutic strategies for HZO-induced OMCN remain underdeveloped due to its scarcity, the prognosis for recovery is generally optimistic.This case report details a cases of HZO with oculomotor nerve palsy and summarizes relevant cases.