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Abstract
To present a case of orbital myositis associated with herpes zoster ophthalmicus.
Observational case report.
A 47-year-old woman with acute retrobulbar eye pain and diplopia preceding the vesicular
rash of herpes zoster ophthalmicus was evaluated and treated.
Magnetic resonance imaging showed enlargement and enhancement of extraocular muscles
consistent with an inflammatory myopathy. Following acyclovir and prednisone treatment,
all symptoms resolved, and neuralgia did not develop.
Herpes zoster may cause symptoms and signs of orbital myositis before eruption of
cutaneous skin lesions and thus should be considered in the differential diagnosis
of an acute orbital myositis.