All of the following are ocular symptom seen in Herpes ophthalmicus, EXCEPT:
Correct Answer: Oculomotor nerve involvement
Description: Herpes Zoster ophthalmicus involves ophthalmic branch of the trigeminal nerve. Herpes Zoster affecting the second and third division of the trigeminal nerve, and other cranial nerves is likely uncommon. When it occurs it may produce lesions in the mouth, ear, pharynx or larynx. Signs of Herpes Ophthalmicus are: Acute vesicular dermatomal skin rash along 1st division of trigeminal nerve Hutchinson sign Corneal pseudodendrites Stromal keratitis Nummular, Disciform keratitis Uveitis Sectoral iris atrophy Scleritis Retinitis Choroiditis Optic neuritis Elevated intraocular pressure Ref: Herpes Zoster: Recent Aspects of Diagnosis and Control ; 18 Tables edited by Gerd Gross, Hans Wilhelm Doerr vol 26, page 25. The Chicago Eye and Emergency Manual By Thomas John page 228.
Category:
Ophthalmology
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