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ARTICLE
Year : 1969  |  Volume : 17  |  Issue : 3  |  Page : 120

Herpes zoster ophthalmicus involving the nasociliary nerve alone


Patna Medical College and Hospital, Patna, India

Date of Web Publication10-Jan-2008

Correspondence Address:
R Pandey
Patna Medical College and Hospital, Patna
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Pandey R. Herpes zoster ophthalmicus involving the nasociliary nerve alone. Indian J Ophthalmol 1969;17:120

How to cite this URL:
Pandey R. Herpes zoster ophthalmicus involving the nasociliary nerve alone. Indian J Ophthalmol [serial online] 1969 [cited 2019 Dec 12];17:120. Available from: http://www.ijo.in/text.asp?1969/17/3/120/38527

Herpes Zoster Ophthalmicus was first described fully by Jonathan Hut­chinson in 1866. The frontal branch of the ophthalmic division of the V th cranial nerve is always involved but sometimes the frontal alone is in­volved.

Lacrimal and nasociliary branches of the 1st division of the V th nerve frequently escape but when they are involved the ocular complications are common. Hutchinson's rule is true that if the side of the tip of the nose is involved the eye is also involved. Involvement of the 2nd division of the V th is very rare.

Hutchinson has reported the involve­ment of the IV th nerve in one case and that is an exception.


  Case Report Top


The author came across Mr. B. P. 39, male on 16.1.68 who complained of headache on the right side and in­tense pain in right eye since four days. There was no history of chicken pox in the family nor the patient suffered from it, On examination the right eye was red and there was marked cir­cumcorneal injection. The luster of the cornea was almost normal and it did not stain with fluorescein. The right cornea was insensitive as tested by touching with a wisp of cotton wool. A few vesicles were seen on the right side of the tip of the nose. The sensa­tion on the right forehead was: not disturbed and no vesicles could be ob­served on that side.

Provisional diagnosis of Herpes Zos­ter Ophthalmicus of the nasociliary was made only by the history of in­tense pain in the right eye and orbit and the diagnosis was confirmed by the presence of a few vesicles on right side of the tip of nose and insensitivity of the right. cornea to cotton wool. Sensation on the right side of the fore­head was present and no vesicles or discolouration could be observed on the right forehead.[2]

 
  References Top

1.
Duke Elder-Text Book of Ophthal­mology, Vol. II, 1938.  Back to cited text no. 1
    
2.
Parson's-Diseases of the Eye. 1954.  Back to cited text no. 2
    




 

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