Herpes zoster ophthalmics is relatively a common very painful ocular condition. It is due to reactivation of varicella-zoster virus affecting the ophthalmic division of trigeminal skin and mucosa. The condition is usually unilateral never crosses the midline one gets a unilateral periorbital edema before that there are skin eruptions on forehead and scalp.
Later the periorbital swelling becomes severe so that eye may be closed if the tip of the nose is involved with eruptions. It means there is Naso ciliary involvement indicating corneal involvement which may manifest as Punctate keratitis Nemular Dendritic Mirodendritic Disform Treatment Famciclovir tab 250 mg tds or a single dose of 759mg for one week, 2 iv monocef one gram bd for 5 days, injection neurobion Im twice or thrice a week for 2 weeks Topically acyclovir eye ointment 5 times a day for 10 days 2 antibiotic eye drops and…
