Ophthalmic Shingles

Indications

Patients with lesions require oral antiviral treatment for up to 7 days after rash onset.

Organism Herpes zoster.
Treatment
1st Line Aciclovir 800mg five times a day, or valaciclovir 1g three times daily for seven days plus aciclovir eye ointment to be applied five times daily.
 
When aciclovir eye ointment is unavailable, ganciclovir ophthalmic gel can be prescribed as an alternative and is not restricted to hospital use only in this circumstance.
 
Referral To an ophthalmologist / Infectious Diseases Unit. If there is a red eye or other signs of ocular involvement, an urgent ophthalmological opinion  must be obtained.

 

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