中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (6): 438-440.doi: 10.12144/zgmfskin202306438

• 病例报告 • 上一篇    下一篇

眼带状疱疹继发眶尖综合征一例

范慧萍1，2,李香迎2,王言2,苏洁言2,宋海燕2,马晓丽2,焦敬2   

  1. 1山东第一医科大学，山东济南，250117；
    2山东第一医科大学附属中心医院皮肤科,山东济南，250013
  • 出版日期:2023-06-15 发布日期:2023-05-18

Orbital apex syndrome secondary to herpes zoster ophthalmicus: a case report

FAN Huiping1，2, LI Xiangying2, WANG Yan2, SU Jieyan2, SONG Haiyan2, MA Xiaoli2, JIAO Jing2   

  1. 1 Shandong First Medical University, Jinan 250117, China;
    2 Central Hospital Affiliated to Shandong First Medical University, Jinan 250013, China
  • Online:2023-06-15 Published:2023-05-18

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摘要： 患者，男，52岁。右侧头面部红斑、水疱伴疼痛7天,发热2天。皮肤科查体：右侧额部、右眼及周围皮肤可见水肿性红斑，散在分布丘疱疹及水疱；右眼睑明显肿胀，右眼结膜充血。结合右眼视力下降、外展受限及右侧面部感觉障碍等临床表现，诊断为带状疱疹、带状疱疹性神经痛、眶尖综合征、角膜炎、结膜炎。给予阿昔洛韦、甲强龙、普瑞巴林、更昔洛韦眼用凝胶、妥布霉素地塞米松滴眼液等治疗有效。

关键词: 眼带状疱疹, 带状疱疹性神经痛, 眶尖综合征, 角膜炎

Abstract: A 52-year-old male presented with erythema and blisters on the right head and face with pain for 7 days and fever for 2 days. Physical examination showed edematous erythema can be seen on the right forehead, eye and surrounding skin, with scattered distribution of vesicles and blisters. Combined with the clinical manifestations of decreased vision of the right eye, limited abduction and sensory disturbance of the right face, the patient was diagnosed as herpes zoster, herpetic neuralgia, orbital apex syndrome, keratitis and conjunctivitis. The patient was treated with acyclovir, methylprednisolone, lyrica, ganciclovir ophthalmic gel, eye drops and got improvement.

Key words: herpes zoster ophthalmicus, zoster-associated pain, orbital apex syndrome, keratitis