Case Report
A Case of Isolated Adie’s Pupil in Herpes Zoster Ophthalmicus
Soveeta R1*, Neha K2, and Suman T1
1Department of Paediatric Ophthalmology and Strabismus and Neuro-ophthalmology. Dr Shroff’s Charity Eye Hospital, New Delhi, India.
2Department of Cornea and ocular surface. Dr Shroff’s Charity Eye Hospital, New Delhi, India
*Corresponding author: Soveeta Rath, Department of Pediatric Ophthalmology, Strabismus and Neuro-ophthalmology, Dr Shroff’s Charity Eye Hospital, New Delhi, India. E-mail: soveetarath1@gmail.com
Article Information: Submission: 21/09/2023; Accepted: 06/11/2023; Published: 09/11/2023
Copyright: © 2023 Soveeta R, et al. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
We report a case of isolated internal ophthalmoplegia in a 32-year-old female who presented to us 6 weeks after the cutaneous manifestations of Herpes zoster. She presented with diminution of vision and severe photophobia due to right pupil anisocoria that responded to dilute pilocarpine test. She was symptomatically better after the test and was prescribed the same for 2 months, during which there was recovery of cutaneous lesions. In the subsequent visits, her anisocoria had reduced and she was asymptomatic.
Tonic pupil following viral infections can occur due to ciliary ganglion involvement. However in most cases of Adies pupil, it remains idiopathic. Internal ophthalmoplegia in herpes zoster ophthalmicus without any other ocular manifestations is rarely reported.