Herpes zoster is the term given to the reactivated varicella-zoster virus in the sensory ganglia. The ophthalmic branch of the trigeminal nerve is most involved – herpes zoster ophthalmicus, while the maxillary or mandibular branch involvement is rare. This article summarizes a unique case report of simultaneous maxillary zoster and neurotrophic keratitis resulting from a percutaneous trigeminal nerve block of its maxillary and mandibular branches.
Case presentation A 57-year-old female patient was referred to the ophthalmology department with decreased visual acuity and a skin vesicle on the lower right eyelid and cheek region. Medical history Ophthalmic findings Measured visual acuity – 0.06 in the right eye (0.25 with pinhole correction); 0.16 in left eye (0.8x -3.25 Dsph; -0.50 Dcyl A x94) Intraocular pressure – 13 mm Hg (right eye) / 10 mm Hg (left eye) Corneal slit-lamp…
