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| ARTICLE |
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| Year : 1969 | Volume
: 17
| Issue : 3 | Page : 120 |
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Herpes zoster ophthalmicus involving the nasociliary nerve alone
R Pandey
Patna Medical College and Hospital, Patna, India
| Date of Web Publication | 10-Jan-2008 |
Correspondence Address:
R Pandey
Patna Medical College and Hospital, Patna
India
 Source of Support: None, Conflict of Interest: None  | Check |
How to cite this article:
Pandey R. Herpes zoster ophthalmicus involving the nasociliary nerve alone. Indian J Ophthalmol 1969;17:120 |
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 | |  |
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 | | |
| 1. | Duke Elder-Text Book of Ophthalmology, Vol. II, 1938.  |
| 2. | Parson's-Diseases of the Eye. 1954. |
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