Case scenario

Mrs AW, 64, presents at eye casualty with increasingly blurry vision associated with redness and irritation in the right eye commencing a week ago. On arrival, her vision in the right eye was poor, with an intraocular pressure (IOP) of 3 mm/Hg as measured by a tonometer. Left eye vision was unaffected at 6/6 with IOP of 9 mm/Hg. The patient does not wear corrective lenses and denied trauma, chemical exposure, discharge, foreign body sensation, sick contacts, or history of similar problems. Slit lamp examination revealed moderate right eye conjunctival irritation but no exudates nor obvious corneal scarring. Anterior chamber slit lamp exam showed a small size stromal infiltrate, but no hypopyon.

Learning Objectives

After reading this article, pharmacists should be able to:

  • Describe the incidence and pathophysiology of herpes zoster ophthalmicus
  • Describe the symptoms of herpes zoster ophthalmicus
  • Discuss treatments for herpes zoster ophthalmicus
  • Discuss treatments for symptoms of herpes zoster ophthalmicus.

Competency standards: (2016): 1.1, 1.4, 1.5, 1.6, 2.1, 2.3, 3.1, 3.2

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