PDF(Pubmed)
Abstract：
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.
摘要：
疱疹病毒从老年人和危重病和免疫受损个体的潜伏感染中重新激活。眼带状疱疹（HZO）是一种潜伏感染，影响第五脑神经。它是眼内压升高的罕见原因。我们介绍了一例50岁的男性，其潜伏性水痘-带状疱疹病毒感染涉及第五颅神经的眼科分支。该患者最初是作为门诊接受抗病毒治疗的，但他的临床进展恶化，需要紧急手术减压。进行外侧角切开术，并对外侧角肌腱的下肢进行角溶解。只有部分减压，因此，在组织张力明显释放的情况下，上小腿进行了冠状溶解。患者进展良好，6天后出院，无症状进行门诊治疗。
