556 Exophtalmie révélant une actinomycose orbitaire : à propos de 2 cas

Ophthalmic Shingles in Children: A Rare Form and a Danger to Be Aware of

“…Ocular involvement in children during the first four years of life is rare and potentially serious in terms of function if not treated early. In such cases, it is essential to investigate a history of chickenpox in the mother during pregnancy or an immunocompromised state [ 6 ]. In infants, shingles is most often the result of in utero transmission during chickenpox contracted by the mother during pregnancy.…”

“…The term "ophthalmic shingles" is used when one of the three branches of the trigeminal nerve (V nerve) is affected: the ophthalmic, maxillary, and mandibular branches. Each branch innervates a specific area: the frontal branch covers half of the forehead and the inner part of the upper eyelid, the lacrimal branch concerns the temporomalar region and the outer part of the upper eyelid, while the nasal branch extends from the inner corner of the eye to the conjunctiva, the root of the nose, and the nasal septum [ 6 ].…”

“…Biological diagnosis is usually unnecessary, but in case of uncertainty, a vesicular fluid sample can be taken to search for the presence of the VZV through immunofluorescence or culture. PCR is a rapid, specific, and highly sensitive method for detecting very low quantities of viral DNA in vesicular fluid and mononuclear cells from peripheral blood during the viremia period [ 6 ].…”

“…Regular follow-up by an ophthalmologist is recommended to detect and treat any potential ocular complications. Early treatment is essential to reduce the risk of serious complications and improve outcomes [ 1 , 6 ].…”