Herpes Zoster Ophthalmicus Following Endodontic Treatment: A Case Report.
Emre Altundaşar, Nevran Derinler, Nilsu Pierovi
✦ AI-curated · Sources linked
Case in brief
A 36-year-old male developed herpes zoster ophthalmicus three days after undergoing nonsurgical root canal treatment for his right maxillary first molar. He presented with severe neuropathic pain, vesicular eruptions along the V1 dermatome, periorbital edema, and conjunctival hyperemia. Despite the treated tooth showing no significant findings, a dermatological evaluation confirmed the diagnosis. Systemic antiviral therapy led to complete resolution by the six-month follow-up.
Diagnostic / clinical pearl
Clinicians should consider herpes zoster ophthalmicus in patients presenting with disproportionate post-endodontic symptoms, even when dental findings appear normal.
Why it matters
This case highlights the importance of recognizing atypical presentations of herpes zoster ophthalmicus to prevent potential vision-threatening complications.