{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T13:48:58Z","timestamp":1773236938972,"version":"3.50.1"},"reference-count":4,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pract Neurol"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:p>Herpes zoster ophthalmicus is a manifestation of herpes zoster when the ophthalmic division of the trigeminal nerve becomes involved. Ocular symptoms are varied and mainly due to inflammatory mechanisms. Total, external and\/or internal ophthalmoplegias, as well as isolated third, fourth and sixth cranial nerve palsies have all been reported as complications. In a minority of cases, concurrent pupillary paralysis has been documented. The presentation of complete paralytic mydriasis as the sole cranial nerve complication following herpes zoster ophthalmicus infection is a rare finding. The postulated pathophysiologic aetiology is a partial third nerve palsy with the pupillary fibres for light and accommodation-convergence affected and motor fibres spared. The mechanism responsible for the postulated lesion is speculative.<\/jats:p>","DOI":"10.1136\/practneurol-2012-000365","type":"journal-article","created":{"date-parts":[[2013,3,13]],"date-time":"2013-03-13T23:28:16Z","timestamp":1363217296000},"page":"183-184","source":"Crossref","is-referenced-by-count":14,"title":["Isolated, complete paralytic mydriasis secondary to herpes zoster ophthalmicus"],"prefix":"10.1136","volume":"13","author":[{"given":"Craig N","family":"Czyz","sequence":"first","affiliation":[{"name":"Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University\/OhioHealth Doctor's Hospital, Columbus, Ohio, USA"},{"name":"Department of Ophthalmology, Oral and Maxillofacial Surgery, Grant Medical Center, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas S","family":"Bacon","sequence":"additional","affiliation":[{"name":"Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas P","family":"Petrie","sequence":"additional","affiliation":[{"name":"Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University\/OhioHealth Doctor's Hospital, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua D","family":"Justice","sequence":"additional","affiliation":[{"name":"Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University\/OhioHealth Doctor's Hospital, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth V","family":"Cahill","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Oral and Maxillofacial Surgery, Grant Medical Center, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,3,13]]},"reference":[{"key":"2025090411172840000_13.3.183.1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3928\/0191-3913-19790101-09","article-title":"Isolated pupillary paralysis in a case of herpes zoster","volume":"16","author":"Sen","year":"1979","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"2025090411172840000_13.3.183.2","first-page":"351","article-title":"Some observations on herpes zoster ophthalmicus","volume":"38","author":"Elliot","year":"1918","journal-title":"Trans Ophthalmol Soc UK"},{"key":"2025090411172840000_13.3.183.3","unstructured":"De Luis VP . Chapter 20: Varicella and herpes zoster ocular disease. In: Tasman W Jaeger E , eds. Duane's ophthalmology. Philadelphia, PA: Lippincott Williams & Wilkins, 2006, vol 4."},{"key":"2025090411172840000_13.3.183.4","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1159\/000052124","article-title":"Internal ophthalmoplegia as a presenting sign of herpes zoster ophthalmicus","volume":"45","author":"Assal","year":"2001","journal-title":"Euro Neurol"}],"container-title":["Practical Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/practneurol-2012-000365","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T18:21:29Z","timestamp":1757010089000},"score":1,"resource":{"primary":{"URL":"https:\/\/pn.bmj.com\/lookup\/doi\/10.1136\/practneurol-2012-000365"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,13]]},"references-count":4,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2013,5,8]]},"published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1136\/practneurol-2012-000365"],"URL":"https:\/\/doi.org\/10.1136\/practneurol-2012-000365","relation":{},"ISSN":["1474-7758","1474-7766"],"issn-type":[{"value":"1474-7758","type":"print"},{"value":"1474-7766","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,13]]}}}