• Users Online: 2479
  • Home
  • Print this page
  • Email this page

   Table of Contents      
Year : 1987  |  Volume : 35  |  Issue : 3  |  Page : 160-161

Herpes zoster maxillaries-a case report

State Institute of Ophthalmology, M .D. Eye Hospital, Allahabad, India

Correspondence Address:
M P Tandon
State Institute of Ophthalmology, M .D. Eye Hospital, Allahabad
Login to access the Email id

Source of Support: None, Conflict of Interest: None

PMID: 3507414

Rights and PermissionsRights and Permissions

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

How to cite this URL:
Tandon M P, Verma S K. Herpes zoster maxillaries-a case report. Indian J Ophthalmol [serial online] 1987 [cited 2022 Oct 7];35:160-1. Available from: https://www.ijo.in/text.asp?1987/35/3/160/26190

  Introduction Top

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 Top

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 Top

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.[2]

  References Top

Duke-Elder 1965-System of Ophthalmology, Henry Kempton, London, reprint, 1973  Back to cited text no. 1
Sorsby A 1972, Modern Ophthalmology. Butter­ worth & Co. Ltd. 2nd edition  Back to cited text no. 2


  [Figure - 1], [Figure - 2]


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this article
Case Report
Article Figures

 Article Access Statistics
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal