Posterior Ischemic Optic Neuropathy following Herpes Zoster Ophthalmicus

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Main Authors: Mohammad Pakravan, Hamid Ahmadieh, Amir-Reza Kaharkaboudi
Format: Article
Language:English
Published: Knowledge E 2009-01-01
Series:Journal of Ophthalmic & Vision Research
Online Access:http://www.jovr.ir/index.php/jovr/article/view/85
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author Mohammad Pakravan
Hamid Ahmadieh
Amir-Reza Kaharkaboudi
author_facet Mohammad Pakravan
Hamid Ahmadieh
Amir-Reza Kaharkaboudi
author_sort Mohammad Pakravan
collection DOAJ
description <!--[if gte mso 9]><xml> Normal 0 false false false MicrosoftInternetExplorer4 </xml><![endif]--><!--[if gte mso 9]><xml> </xml><![endif]--> <!--[if gte mso 10]> <style>
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 </style> <![endif]--> <p>PURPOSE: To report a case of posterior ischemic optic neuropathy (PION) following herpes zoster ophthalmicus (HZO). CASE REPORT: A 58-year-old woman with history of recent HZO in her right eye presented with acute painless loss of vision in the same eye to no light perception. Examination revealed a positive relative afferent pupillary defect and a normal appearing optic disc. Inflammatory and infiltrative lesions of the optic nerve were ruled out by laboratory and imaging studies. The patient received systemic acyclovir and prednisolone. Three months later, visual acuity improved to counting fingers, but the optic disc became pale and atrophic leading to a presumptive diagnosis of PION. Considering the positive PCR test for varicella zoster virus and the short time interval between the two presentations, HZO was considered as the most probable cause of the optic neuropathy. CONCLUSION: Herpes zoster ophthalmicus can be associated with PION.</p>
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spelling doaj.art-023e7dcc54304096b9f730e47028b4e72022-12-22T03:23:31ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2009-01-01415962Posterior Ischemic Optic Neuropathy following Herpes Zoster OphthalmicusMohammad PakravanHamid AhmadiehAmir-Reza Kaharkaboudi<!--[if gte mso 9]><xml> Normal 0 false false false MicrosoftInternetExplorer4 </xml><![endif]--><!--[if gte mso 9]><xml> </xml><![endif]--> <!--[if gte mso 10]> <style>
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 </style> <![endif]--> <p>PURPOSE: To report a case of posterior ischemic optic neuropathy (PION) following herpes zoster ophthalmicus (HZO). CASE REPORT: A 58-year-old woman with history of recent HZO in her right eye presented with acute painless loss of vision in the same eye to no light perception. Examination revealed a positive relative afferent pupillary defect and a normal appearing optic disc. Inflammatory and infiltrative lesions of the optic nerve were ruled out by laboratory and imaging studies. The patient received systemic acyclovir and prednisolone. Three months later, visual acuity improved to counting fingers, but the optic disc became pale and atrophic leading to a presumptive diagnosis of PION. Considering the positive PCR test for varicella zoster virus and the short time interval between the two presentations, HZO was considered as the most probable cause of the optic neuropathy. CONCLUSION: Herpes zoster ophthalmicus can be associated with PION.</p>http://www.jovr.ir/index.php/jovr/article/view/85
spellingShingle Mohammad Pakravan
Hamid Ahmadieh
Amir-Reza Kaharkaboudi
Posterior Ischemic Optic Neuropathy following Herpes Zoster Ophthalmicus
Journal of Ophthalmic & Vision Research
title Posterior Ischemic Optic Neuropathy following Herpes Zoster Ophthalmicus
title_full Posterior Ischemic Optic Neuropathy following Herpes Zoster Ophthalmicus
title_fullStr Posterior Ischemic Optic Neuropathy following Herpes Zoster Ophthalmicus
title_full_unstemmed Posterior Ischemic Optic Neuropathy following Herpes Zoster Ophthalmicus
title_short Posterior Ischemic Optic Neuropathy following Herpes Zoster Ophthalmicus
title_sort posterior ischemic optic neuropathy following herpes zoster ophthalmicus
url http://www.jovr.ir/index.php/jovr/article/view/85
work_keys_str_mv AT mohammadpakravan posteriorischemicopticneuropathyfollowingherpeszosterophthalmicus
AT hamidahmadieh posteriorischemicopticneuropathyfollowingherpeszosterophthalmicus
AT amirrezakaharkaboudi posteriorischemicopticneuropathyfollowingherpeszosterophthalmicus