Herpes Zoster Opthalmicus

Question 1

What causes herpes zoster opthalmicus and where does it affect

Answer 1

Reactivation of dormant Varicella Zoster virus in ophthalmic division of the trigeminal nerve (CN V1)

Question 2

Signs and symptoms in herpes zoster opthalmicus

Answer 2

Viral symptoms (tiredness, fever etc)

Tingling/pain on sensory distribution of affected dermatome

Rashes on cutaneous distribution

Hutchinson sign (rash on nose)

Question 3

Management of herpes zoster opthalmicus

Answer 3

Oral or IV aciclovir