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Concurrent hyphema and orbital apex syndrome following herpes zoster ophthalmicus in a middle aged lady

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Highlights • Herpes zoster ophthalmicus is an uncommon clinical presentation.• Concurrent hyphema and orbital apex syndrome are rare clinical sequelae.• Hyphema is postulated due to auto immune vasculitis affecting iris… Click to show full abstract

Highlights • Herpes zoster ophthalmicus is an uncommon clinical presentation.• Concurrent hyphema and orbital apex syndrome are rare clinical sequelae.• Hyphema is postulated due to auto immune vasculitis affecting iris vessel.• Orbital apex syndrome results from occlusive vasculitis affecting vasculature of optic nerve and extraocular muscles.• This incidence probably suggests that occlusive vasculitis occurs at more than one site in the affected dermatome.

Keywords: hyphema; orbital apex; herpes zoster; zoster ophthalmicus; apex syndrome

Journal Title: International Journal of Surgery Case Reports
Year Published: 2017

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