Two uremic patients undergoing hemodialysis developed ophthalmic herpe
s tester (OHZ), rapidly complicated by external ocular motor palsies,
A total third nerve palsy was present in one case, a third with pupil
sparing and fourth nerve palsy in the other. The palsies fully recover
ed within eight and nine weeks, respectively. Relative lymphopenia and
absence of vascular brain lesions suggest a viral origin in these imm
unosuppressed cases.