Herpes Zoster Opthalmicus

Last updated 20.09.12

 

Index

 

Definition

-  Varicella Zoster virus reactivation involving the ophthalmic division of trigeminal nerve

 

Features

-  10-25% of cases of Herpes Zoster

-  Increased incidence w age

-  Can lead to blindness: 2o staph infection, focal scleral atrophy, keratitis, uveitis

-  Increased intraocular pressure

-  Dx

-  Unilateral rash of forehead, upper eyelid, nose

-  Hutchinson Sign

-  Lesions on tip of nose indicate nasociliary nerve involvement

 

 

 

Herpes Zoster Opthalmicus

 

Mx

-  Acicylovir 10mg/kg IV 8/24 7/7 (adjust dose for renal function)

-  Refer to opthalmologist

 

 

 

References

 

eTG: Herpes Zoster (Shingles), accessed 16/03/2013