Herpes zoster ophthalmicus, also called ocular shingles, is an infection of the eye.
Around 10-25% of shingles cases are infected with herpes zoster ophthalmicus. The problem can become really devastating when HZO leads to chronic ocular inflammation, blindness and debilitating pain
Causes
Herpes zoster ophthalmicus is caused by the varicella zoster virus, which is a member of the herpes virus family and causes chicken pox.
Most people who get chicken pox can be infected with herpes zoster ophthalmicus as the chicken pox virus that goes into dormant state in the body becomes active once again.
After the outbreak is over, the virus goes to dorsal root or other sensory ganglion and lies there in dormant state for decades. It becomes active once again when it finds certain favorable conditions in the body such as old age, immunosuppressive illness, stress or some medication.
The reactivated virus may attack the ophthalmic division of the nerve and cause herpes zoster ophthalmicus.
Symptoms
The initial symptoms of herpes zoster ophthalmicus starts with rash. There may be redness of the eye, pain, sensitivity to light and reduced vision. It may, sometimes, cause serious complications such as glaucoma in the eye.
If you ever experience any of these symptoms, contact your eye specialist immediately for an eye examination.
Herpes zoster ophthalmicus generally lasts a few weeks, but in some patients it may stay for years.
Treatmentof herpes zoster ophthalmicus
Herpes zoster ophthalmicus is normally treated with antiviral medication such as acyclovir, valacyclovir and famciclovir.
Since patients with acute rash of herpes zoster are highly infectious, contact with them should be avoided. This advice is particularly applicable to those whose immune system is impaired or those who are on immunosuppressive medication.
Some people contract post herpetic neuralgia and suffer from acute pain and rashes. This is a complicated condition and can be difficult to control. Patients have to take pain killers and the treatment may be the same that is needed for depression and epilepsy.
Prognosis
It should, however, be noted that once herpes zoster ophthalmicus attack is over, it does not normally occur again and no serious harm comes to vision
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