- OPHTHALMOLOGIC EMERGENCY (as sequelae often include severe chronic pain and vision loss)
- Burning/shooting pain followed by an erythematous vesicular/pustular rash to the same area
Constitutional symptoms:Fever, fatigue, malaise, and headaches
Hutchinson sign:Indicates nasociliary branch involvement of V1
Supportive care:Artificial tears, cold compresses, and analgesics
Antiviral agents:Treatment with systemic antiviral agents should begin within 72 hours of disease onset
Topical antibioticsHelp prevent secondary bacterial infection.
- Erythromycin ophthalmic ointment)
- Systemic corticosteroids: Herpes zoster treatment, including HZO.
- Topical corticosteroids: Stromal keratitis, uveitis, and trabeculitis.
Topical aqueous suppressants:Used in combination with topical corticosteroids in the treatment of elevated IOP secondary to HZO
Debridement:In cases of epithelial keratitis.