Ophthalmoplegia secondary to herpes zoster has excellent long-term prognosis

   Manpreet S. Chhabra, MD, of Cincinnati Children’s Hospital Medical Center, and colleague Karl C. Golnik, MD, found that ophthalmoplegia secondary to herpes zoster has excellent long-term prognosis.

   They performed a retrospective chart review and identified patients with ocular motor cranial nerve palsy occurring at the time of herpes zoster trigeminal nerve involvement. Patients were seen by a single neuro-ophthalmologist from 1994 to 2012. Twenty-one patients were identified; three were excluded because of incomplete follow-up. Nine (50%) had complete recovery and eight (44%) had partial recovery but no diplopia in primary gaze (mean time 10 weeks). One patient with complete ophthalmoplegia had persistent diplopia in primary position.