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This 81 YO male was referred to our clinic for an evaluation for possible orbital cellulitis. The patient reported this all began when he developed shingles around his left eye six weeks prior. He was treated by his PCP with valacyclovir initially. He reported improvement in the rash but his left eye developed a complete ptosis, severe ophthalmoplegia, a non-reactive pupil, and HM vision. Additionally, slit lamp exam revealed a uveitis. The patient was started on 1g valacyclovir TID and started
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