HERPES ZOSTER OPTHALMICUS Flashcards
1
Q
Clinical Features
A
Pain
Blurred vision
Photophobia
Red eye
Shingles in the trigeminal distribution w/o crossing midline
Hutchinson’s Signs (Shingles on tip of nose)
Pseudodentrite on slit lamp
a/w
Preceding pain & paresthesias
Headache
Fever
Malaise
2
Q
Management
A
Skin Lesions:
Cool compress
Acyclovir 800 mg
5 times daily
10 days
OR
Valcyclovir 1000 mg
tid
10 days
Bacitracin
Apply to affected lesions
1 - 3 times daily
Continue until lesions head
Ocular Lesions:
Erythromycin 0.5% Ointment
1 drop bid
Use until lesions have epithelialized
Associated Anterior Uveitis:
Cyclogyl (Cyclopentolate) 1%
1 drop tid
Opthalmology consult 24-48 hrs