Optho

Question 1

Herpes zoster opthalmicus

Answer 1

vesicular rash around eye
hutchinsons sign: rash on nose, strong indicator for otphalmic involvement
oral antiviral for 7-10days
IV if patient severely unwell/immunocompromised
urgent optho review in ocular involvement
topical corticosteroids may be used to treat any secondary inflammation of the eye

Question 2

Herpes zoster opthalmicus complications

Answer 2

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