|Year : 1987 | Volume
| Issue : 3 | Page : 160-161
Herpes zoster maxillaries-a case report
MP Tandon, SK Verma
State Institute of Ophthalmology, M .D. Eye Hospital, Allahabad, India
M P Tandon
State Institute of Ophthalmology, M .D. Eye Hospital, Allahabad
Source of Support: None, Conflict of Interest: None
Herpes Zoster Maxillaris in an adult is being reported He had varicella infection in his adolescence.
|How to cite this article:|
Tandon M P, Verma S K. Herpes zoster maxillaries-a case report. Indian J Ophthalmol 1987;35:160-1
| Introduction|| |
Herpes Zoster is a severe disease occurring usually in adults The Varicella-Zoster virus has long been suspected as the causative organism
In Herpes Zoster the Ophthalmic branch involvement is very common but maxillary branch of Vth cranial nerve involvement is very rare. Therefore a case of Herpes Zoster maxillaris is being reported
| Case Report|| |
Mr. RP. Azad 25 years came to the State Institute of Ophthalmology(Allahabad) with complaints of severe pain on the left side of his face since 4 days This was followed by swelling of lower lid and appearance of vesicles on the lower lid and cheek associated with fever.
On examination there were areas of hyperaesthesia followed by eruption of vesicles along the distribution of maxillary division of 5th cranial nerve.
Vesicles were distributed on the lower lid and the area between lower lid and upper lip. They contained clear fluid and went on increasing in size for a few days The cornea was not involved at any stage.
Investigations : Haemogram and urine for routine and microscopic examination were within normal limits
The patient was treated with local and systemic antibiotics The skin lesions were treated by applying callamine lotion. Cortisone 60 mg daily and Vit C 500 mg BD orally were given The symptoms subsided after a fortnight Cortisone was gradually tapered off.
The vesicles left pitted scars On follow up post herpetic neuralgia was minimal lasting for 2 months
| Discussion|| |
The diagnosis was made on the basis of the typical distribution of vesicles along the distribution of the maxillary division of Trigeminal nerve. In this condition there was involvement of Gasserian ganglion of Trigeminal nerve by Varicella-Zoster virus. Usually ophthalmic branch of Vth nerve is involved but very rarely maxillary branch of 5th cranial nerve may get involved. To minimise the post-herpetic neuralgia heavy doses of cortisone should be given.
| References|| |
Duke-Elder 1965-System of Ophthalmology, Henry Kempton, London, reprint, 1973
Sorsby A 1972, Modern Ophthalmology. Butter worth & Co. Ltd. 2nd edition
[Figure - 1], [Figure - 2]