Herpes Zoster Involving Trigeminal and Facial Nerve In an Immunocompetent Patient

Abstract

Herpes Zoster ophthalmicus is associated with ocular complications in 50% to 89% of cases. The complications may involve the skin, anterior segment, optic nerve, retina, and central nervous system. Ocular involvement may manifest as a self-limited conjunctivitis, scleritis, stromal keratitis and uveitis. Among neurological complications, post-herpetic neuralgia is the most common, followed by cranial nerve palsies, partial or complete ophthalmoplegia, meningitis, myelitis, encephalitis and delayed contralateral hemiparesis, which more commonly occur in immunocompromised patients. A 52 year old immunocompetent male with herpes zoster involving the facial nerve, along with the mandibular and ophthalmic division of trigeminal nerve leading to lagophthalmus, is presented here.