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Herpes zoster ophthalmicus (HZO) is a rare form of shingles that typically presents with prodromal symptoms followed by rash along the V1 or V2 dermatomes. Associated ophthalmoplegia is even rarer. About 99% of adults with a history of chickenpox and up to 90% of those without have serology positive for varicella-zoster. Age and immune incompetence are the main risk factors. In the current report, we describe an immunocompetent 16-year-old girl who presented with pupil invoinvolving complete third nerve palsy associated with HZO. After an extensive literature search, we could not find any similar case reported before.