Herpes zoster optic neuritis: a catastrophe of a disease
Isolated herpes zoster optic neuritis is a rare sequelae of herpes zoster ophthalmicus (HZO). It can occur in the acute phase of HZO, or as post-herpetic complications. We report a case of a young patient with poorly controlled diabetes who developed herpes zoster optic neuritis one month after the...
| Main Authors: | , , , , |
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| Format: | Article |
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Cureus Inc.
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/117087/ |
| _version_ | 1848867163640692736 |
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| author | Mohd Zaidan, Khairun Nisa Mohammad Razali, Amirah Md Noh, Mohamad Syafeeq Faeez Md Saleh, Rafidah Mohd Isa, Muhammad |
| author_facet | Mohd Zaidan, Khairun Nisa Mohammad Razali, Amirah Md Noh, Mohamad Syafeeq Faeez Md Saleh, Rafidah Mohd Isa, Muhammad |
| author_sort | Mohd Zaidan, Khairun Nisa |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Isolated herpes zoster optic neuritis is a rare sequelae of herpes zoster ophthalmicus (HZO). It can occur in the acute phase of HZO, or as post-herpetic complications. We report a case of a young patient with poorly controlled diabetes who developed herpes zoster optic neuritis one month after the initial skin manifestation despite completing a two-week course of oral acyclovir 800 mg five times a day. He complained of a five-day history of sudden onset, painless left eye blurring of vision. His vision over the left eye was no light perception with the presence of a left relative afferent pupillary defect. Fundus examination of the left eye revealed a swollen optic disc. Magnetic resonance imaging showed minimal fat streakiness over the left orbit. He was treated with one week of intravenous methylprednisolone 1 g/day, followed by a tapering dose of oral prednisolone (1 mg/kg/day) together with oral acyclovir 800 mg five times a day for another week. His visual acuity remained poor with a slight improvement in vision to hand motion. |
| first_indexed | 2025-11-15T14:32:08Z |
| format | Article |
| id | upm-117087 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-15T14:32:08Z |
| publishDate | 2024 |
| publisher | Cureus Inc. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1170872025-04-28T02:53:18Z http://psasir.upm.edu.my/id/eprint/117087/ Herpes zoster optic neuritis: a catastrophe of a disease Mohd Zaidan, Khairun Nisa Mohammad Razali, Amirah Md Noh, Mohamad Syafeeq Faeez Md Saleh, Rafidah Mohd Isa, Muhammad Isolated herpes zoster optic neuritis is a rare sequelae of herpes zoster ophthalmicus (HZO). It can occur in the acute phase of HZO, or as post-herpetic complications. We report a case of a young patient with poorly controlled diabetes who developed herpes zoster optic neuritis one month after the initial skin manifestation despite completing a two-week course of oral acyclovir 800 mg five times a day. He complained of a five-day history of sudden onset, painless left eye blurring of vision. His vision over the left eye was no light perception with the presence of a left relative afferent pupillary defect. Fundus examination of the left eye revealed a swollen optic disc. Magnetic resonance imaging showed minimal fat streakiness over the left orbit. He was treated with one week of intravenous methylprednisolone 1 g/day, followed by a tapering dose of oral prednisolone (1 mg/kg/day) together with oral acyclovir 800 mg five times a day for another week. His visual acuity remained poor with a slight improvement in vision to hand motion. Cureus Inc. 2024-05-15 Article PeerReviewed Mohd Zaidan, Khairun Nisa and Mohammad Razali, Amirah and Md Noh, Mohamad Syafeeq Faeez and Md Saleh, Rafidah and Mohd Isa, Muhammad (2024) Herpes zoster optic neuritis: a catastrophe of a disease. Cureus. https://www.cureus.com/articles/255567-herpes-zoster-optic-neuritis-a-catastrophe-of-a-disease 10.7759/cureus.60387 |
| spellingShingle | Mohd Zaidan, Khairun Nisa Mohammad Razali, Amirah Md Noh, Mohamad Syafeeq Faeez Md Saleh, Rafidah Mohd Isa, Muhammad Herpes zoster optic neuritis: a catastrophe of a disease |
| title | Herpes zoster optic neuritis: a catastrophe of a disease |
| title_full | Herpes zoster optic neuritis: a catastrophe of a disease |
| title_fullStr | Herpes zoster optic neuritis: a catastrophe of a disease |
| title_full_unstemmed | Herpes zoster optic neuritis: a catastrophe of a disease |
| title_short | Herpes zoster optic neuritis: a catastrophe of a disease |
| title_sort | herpes zoster optic neuritis: a catastrophe of a disease |
| url | http://psasir.upm.edu.my/id/eprint/117087/ http://psasir.upm.edu.my/id/eprint/117087/ http://psasir.upm.edu.my/id/eprint/117087/ |