A 79-year-old male patient was admitted to our emergency department with a complaining of erup-tion over his face for 10 days and inability to open his eyes for a few days. The patient had hyperten-sion and diabetes mellitus. He had no history of smoking, alcohol. On examination, there was ve-sicular cutaneous eruption, erosions and crusts, as well as ptosis, in some areas in the ophthalmic divi-sion of the trigeminal nerve on the left side of his face (Figure 1). The patient did not have extraocular muscle palsy. Patient was cachectic and dehydrated appearance. Other systemic examinations were un-remarkable. Laboratory investigations showed total white cell count of 16500 (neutrophil: 15000, N: 5200–12400), and CRP: 15 mg/dL (N: 0.1–0.5). A clinical diagnosis of ophthalmic zoster with occulo-motor nerve palsy was made and the valasiclovir 3g/d was given to patient, wet dressing with an alu-minum acetate solution 0,5%. The patient's lesions had markedly improved within 10 days
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