Herpes Zoster Ophthalmicus

Question 1

In what nerve is the varicella zoster virus reactivated in HZO?

Answer 1

ophthalmic division of the trigeminal nerve.

Question 2

Clinical features of HZO

Answer 2

vesicular rash around the eye

Hutchinson’s sign: rash on the tip or side of the nose.

Indicates nasociliary involvement and is a strong risk factor for ocular involvement

Question 3

Management of HZO

Answer 3

oral antivirals for 7-10 days
(start within 72 hours)

IV antivirals if severe infection or if the patient is immunocompromised

Question 4

Common complications of HZO

Answer 4

conjunctivitis, keratitis, episcleritis, anterior uveitis
ptosis
post-herpetic neuralgia