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herpes zoster opthalmicus (complications (ocular (conjunctivitis,…
herpes zoster opthalmicus
reactivation of varicella zoster virus in area supplied by the opthalmic division of the trigeminal nerve.
incidence
10% of shingles
aetiology
varicella zoster virus
pathophysiology
resides in dorsal root ganglion
clinical
signs
vesicular rash around eye
hutchinson's sign
rash on tip or side of nose
symptoms
red eye
photophobia
rash
diagnosis
clinical
ancillary
fundus exam
slit lamp examination
treatment
aciclovir 7-10 days within 72 h
oral corticosteroids may reduce pain but do not reduce incidence of post-herpetic neuralgia
prognosis
complications
ocular
conjunctivitis
keratitis
episcleritis
anterior uveitis
ptosis
post-herpetic neuralgia