Introduction: Herpes zoster is the reactivation of the varicella zoster virus in the sensorial and/ or autonomic ganglia, typically characterized by cutaneous vesicular eruptions and deep pain with dermatomal distribution. Infrequently can occur the Zoster Sine Herpete; condition in which there is dermatomal distribution of the pain in absence of dermic injuries, making the diagnosis a challenge for the clinician. Case report: 69 years old man with periorbital pain, epiphora, ptosis and loss of adduction