Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case report
Herpesvirus reactivates from a latent infection in older adults and critically ill and immunocompromised individuals. Herpes zoster ophthalmicus (HZO) is a latent infection that affects the fifth cranial nerve. It is an infrequent cause of increased intraocular pressure. We present the case of a 50-...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-06-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X231180725 |
| _version_ | 1797800035071557632 |
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| author | Edgar A Peñarrieta-Daher Raúl Herrera-Gutiérrez Edson R Marcos-Ramírez Christian S Tolentino-González Jorge A Garcia-Garza Victor Hugo Cervantes-Kardasch Yanko Castro-Govea |
| author_facet | Edgar A Peñarrieta-Daher Raúl Herrera-Gutiérrez Edson R Marcos-Ramírez Christian S Tolentino-González Jorge A Garcia-Garza Victor Hugo Cervantes-Kardasch Yanko Castro-Govea |
| author_sort | Edgar A Peñarrieta-Daher |
| collection | DOAJ |
| description | Herpesvirus reactivates from a latent infection in older adults and critically ill and immunocompromised individuals. Herpes zoster ophthalmicus (HZO) is a latent infection that affects the fifth cranial nerve. It is an infrequent cause of increased intraocular pressure. We present the case of a 50-year-old man with a reactivation of latent varicella-zoster virus infection involving the ophthalmic branch of the fifth cranial nerve. The patient was initially managed as an outpatient with an antiviral, but his clinical evolution worsened and required urgent surgical decompression. Lateral canthotomy was performed with cantholysis of the inferior crus of the lateral canthal tendon. Only partial decompression was achieved, so cantholysis of the upper crus was performed with significant tissue tension release. The patient evolved well and was discharged after 6 days without symptoms for outpatient management. |
| first_indexed | 2024-03-13T04:29:01Z |
| format | Article |
| id | doaj.art-7bc8412fcc994d9fb9cb732b63922b37 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-03-13T04:29:01Z |
| publishDate | 2023-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-7bc8412fcc994d9fb9cb732b63922b372023-06-19T18:04:43ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-06-011110.1177/2050313X231180725Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case reportEdgar A Peñarrieta-Daher0Raúl Herrera-Gutiérrez1Edson R Marcos-Ramírez2Christian S Tolentino-González3Jorge A Garcia-Garza4Victor Hugo Cervantes-Kardasch5Yanko Castro-Govea6Plastic Surgery Service, Department of Surgery, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez,” Universidad Autonoma de Nuevo Leon, Monterrey, MexicoPlastic Surgery Service, Department of Surgery, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez,” Universidad Autonoma de Nuevo Leon, Monterrey, MexicoPlastic Surgery Service, Department of Surgery, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez,” Universidad Autonoma de Nuevo Leon, Monterrey, MexicoGeneral Surgery Service, Hospital General de Zona #47, Mexico City, MexicoPlastic Surgery Service, Department of Surgery, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez,” Universidad Autonoma de Nuevo Leon, Monterrey, MexicoLaboratory of Tissue Engineering, Faculty of Medicine, University of Colima, Colima, MexicoPlastic Surgery Service, Department of Surgery, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez,” Universidad Autonoma de Nuevo Leon, Monterrey, MexicoHerpesvirus reactivates from a latent infection in older adults and critically ill and immunocompromised individuals. Herpes zoster ophthalmicus (HZO) is a latent infection that affects the fifth cranial nerve. It is an infrequent cause of increased intraocular pressure. We present the case of a 50-year-old man with a reactivation of latent varicella-zoster virus infection involving the ophthalmic branch of the fifth cranial nerve. The patient was initially managed as an outpatient with an antiviral, but his clinical evolution worsened and required urgent surgical decompression. Lateral canthotomy was performed with cantholysis of the inferior crus of the lateral canthal tendon. Only partial decompression was achieved, so cantholysis of the upper crus was performed with significant tissue tension release. The patient evolved well and was discharged after 6 days without symptoms for outpatient management.https://doi.org/10.1177/2050313X231180725 |
| spellingShingle | Edgar A Peñarrieta-Daher Raúl Herrera-Gutiérrez Edson R Marcos-Ramírez Christian S Tolentino-González Jorge A Garcia-Garza Victor Hugo Cervantes-Kardasch Yanko Castro-Govea Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case report SAGE Open Medical Case Reports |
| title | Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case report |
| title_full | Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case report |
| title_fullStr | Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case report |
| title_full_unstemmed | Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case report |
| title_short | Unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus: A case report |
| title_sort | unusual presentation of orbital compartment syndrome due to complicated herpes zoster ophthalmicus a case report |
| url | https://doi.org/10.1177/2050313X231180725 |
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